MS. CAROLYN GRACE KIM (NPI# 1083833453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083833453 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN GRACE KIM |
| Credential | LCSW |
| Practice Address |
36141 Avenue 12 #109 Madera CA 93638-8712 |
| Practice Telephone | 5596458802 |
| Mailing Telephone | 5596458802 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
18080 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487871687 | Carolyn Kim | Marriage & Family Therapist | 3516 Geary Blvd, Suite 102, San Francisco, CA 94118-3213 | 2007-04-19 |
| 1063594299 | Carolyn Kim | Dermatology | 2005 West Park Drive, Suite 120, Irving, TX 75061-7506 | 2006-10-19 |
| 1417573031 | Carolyn Krystal Kim | Student in an Organized Health Care Education/Training Program | 100 W California Blvd, Pasadena, CA 91105-3010 | 2020-06-19 |
| 1982946653 | Carolyn Kim | Social Worker | 1499 Huntington Dr, South Pasadena, CA 91030-4552 | 2013-03-20 |
| 1346590817 | Carolyn Kim | Counselor | 838 E 6th St, Los Angeles, CA 90021-1028 | 2012-09-12 |
| 1467605568 | Carolyn Young Kim | Anesthesiology | 550 1st Ave, New York, NY 10016-6402 | 2008-11-03 |
| Street Address |
36141 AVENUE 12 #109 |
| City | MADERA |
| State | CA |
| Zip Code | 93638-8712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1821424003 | Brooke J Durrell | Social Worker | 554 Spring St W, Madera, CA 93636-8921 | 2013-09-19 |
| 1891957247 | Rodolfo L Garza | Social Worker | 500 E Almond Ave Ste 2b, Madera, CA 93637-5600 | 2008-06-26 |
| 1346451820 | Raquel G. Espinosa | Social Worker | 1834 Howard Rd Ste H, Madera, CA 93637-5159 | 2007-05-25 |
| 1639290356 | Karen Evelyn Walker | Social Worker | 117 N R St, Madera, CA 93607 | 2007-04-02 |
| 1235259821 | Art A. Galindo Jr. | Social Worker | 121 N Lake St, Madera, CA 93638-3330 | 2007-03-29 |
| 1891778114 | Camarena Health | Social Worker | 344 E 6th Street, Madera, CA 93638-3631 | 2005-11-21 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1093321655 | Brittany Lynea Gonzales | Social Worker | 209 E 7th St, Madera, CA 93638-3780 | 2020-09-18 |
| Find all providers in MADERA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.