LORD J. KIM (NPI# 1134677917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134677917 |
| Entity Type | Individual |
| Full Name | LORD J. KIM |
| Credential | LMSW |
| Practice Address |
35 S Johnson St Ste 3c Pontiac MI 48341-1662 |
| Mailing Address |
100 River Place Dr Ste 250 Detroit MI 48207-5402 |
| Practice Telephone | 2483337222 |
| Mailing Telephone | 3138712337 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6801089766 | MI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801089766 | MI | Behavioral Health & Social Service Providers |
| Street Address |
35 S JOHNSON ST STE 3C |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346649324 | Patrick Laus | Social Worker | 35 S Johnson St Ste 3c, Pontiac, MI 48341-1662 | 2014-08-15 |
| 1255840328 | Kelsey Slugaj-lukowski | Counselor | 35 S Johnson St Ste 3c, Pontiac, MI 48341-1662 | 2017-09-21 |
| 1912425307 | Valerie L Clanton | Counselor | 35 S Johnson St Ste 3c, Pontiac, MI 48341-1662 | 2017-09-06 |
| 1649631789 | Peter Giles | Counselor | 35 S Johnson St Ste 3c, Pontiac, MI 48341-1662 | 2016-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047039 | The Restoration Village: Therapeutic and Holistic Services | Counselor | 149 Martin Luther King Jr Blvd N, Pontiac, MI 48342-2514 | 2019-01-17 |
| 1083160790 | Kim Kory Young | Counselor | 116 N Johnson St, Pontiac, MI 48341-1330 | 2016-09-01 |
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1689842775 | Janice Lee | Counselor | 534 Franklin Rd, Pontiac, MI 48341-2527 | 2008-02-12 |
| 1699963074 | John Brownlee Moir | Counselor | 91 N. Saginaw St., Suite G 101, Pontiac, MI 48342 | 2007-10-10 |
| 1548450430 | Alejandra Alma-zapata | Counselor | 35 W Huron St Ste 500, Pontiac, MI 48342-2125 | 2007-07-27 |
| 1861603417 | Michael O'brien | Counselor | 36 W Tennyson Ave, Pontiac, MI 48340-2668 | 2007-05-25 |
| 1912533266 | David Anthony Dudek | Counselor | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2020-03-19 |
| 1477106003 | Kevin Steidinger | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-07-23 |
| 1891262879 | Stacie Nicole Burns I | Counselor | 239 State St, Pontiac, MI 48341-1363 | 2018-10-29 |
| Find all providers in PONTIAC | ||||
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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.