Patricia Kim, LCSW
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1194222679
StatusActive
Last updated in NPPESDec 16, 2023
Details
- NPI
- 1194222679
- Entity type
- Individual (NPI-1)
- Name
- Patricia Kim
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2018
- Certification date
- Dec 16, 2023
- Last updated
- Dec 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 101784 | NY | Yes |
| 1041C0700X | Social Worker, Clinical | 092619 | NY |
Practice location
109 W 27th St Ste 5sNew York, NY 10001-6208
Phone 917-634-5311
Mailing address
55 Water St Fl 18New York, NY 10041-0004
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