Susan Eunji Kim, LCSW
Counselor, Mental Health in Riverside, CA. Individual provider (NPI-1).
NPI number1750857751
StatusActive
Last updated in NPPESApr 18, 2024
Details
- NPI
- 1750857751
- Entity type
- Individual (NPI-1)
- Name
- Susan Eunji Kim
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2018
- Certification date
- Apr 18, 2024
- Last updated
- Apr 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 114780 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YM0800X | Counselor, Mental Health | 83283 | CA |
Practice location
11870 Pierce St Ste 200Riverside, CA 92505-5186
Phone 951-248-4000
Mailing address
11870 Pierce St Ste 200Riverside, CA 92505-5186
Phone 951-248-4000
Other practice locations
520 S Lafayette Park Place 3rd Floor
Los Angeles, CA 90057-5400
Los Angeles, CA 90057-5400
Phone 213-252-2100
13800 Heacock St Ste D111
Moreno Valley, CA 92553-3340
Moreno Valley, CA 92553-3340
Phone 951-653-1800
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mental Health Counselor providers in Riverside, CA
- Aboveboard Consulting & Marriage Counseling Services, INCNPI 1669233979
- Larolla Arlene AbramNPI 1992941058
- Tania Acevedo, LPCCNPI 1912380908
- Marisa AdamNPI 1386860906
- Seth Michael AddisonNPI 1487847398
- Maria AguilarNPI 1619409570
- Lilia Aguirre, ASWNPI 1386460939
- Angela AlmendarezNPI 1295226389
- Amber AlonzoNPI 1558054783
- Ashley Nicole AlvaradoNPI 1831792092
All 404 Mental Health Counselor providers in Riverside · All 16,640 providers in Riverside
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.