STACEY KIM


Address: 600 N Jordan Ave, Indiana University Counseling and Psychological Service, Bloomington, IN 47405-3190
Phone: 8128555711

STACEY KIM (NPI# 1841525565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841525565
Entity Type Individual
Full Name STACEY KIM
Credential LSW
Practice Address 600 N Jordan Ave
Indiana University Counseling and Psychological Service
Bloomington
IN 47405-3190
Practice Telephone 8128555711
Practice Fax Number 8128558447
Mailing Telephone 8128555711
Mailing Fax Number 8128558447
Enumeration Date 2009-10-14
Last Update Date 2009-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 33005674A IN Behavioral Health & Social Service Providers

Other Providers STACEY KIM

NPI Name Taxonomy Address Enumeration
1710333067 Stacey Kim Behavioral Analyst 575 Bayview Ave, Millbrae, CA 94030-1107 2016-05-05
1568936664 Stacey R Kim Behavior Technician 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 2019-01-11
1114123171 Stacey Kim Pathology 8700 Beverly Blvd, South Tower, Room 8709, Los Angeles, CA 90048 2007-06-26

Office Location

Street Address 600 N JORDAN AVE
INDIANA UNIVERSITY COUNSELING AND PSYCHOLOGICAL SERVICE
City BLOOMINGTON
State IN
Zip Code 47405-3190

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831182898 William T Havens Physician Assistant 600 N Jordan Ave, Bloomington, IN 47405-3190 2005-08-25
1306470547 Felicia Cianchetti Counselor 600 N Jordan Ave, Bloomington, IN 47405-3190 2020-02-26
1538707823 Fatima Zaidi Counselor 600 N Jordan Ave, Bloomington, IN 47405-3190 2019-12-17
1942845078 Daisy Day Anspach Social Worker 600 N Jordan Ave, Bloomington, IN 47405-3190 2019-11-13
1417443359 Denise Hayes Psychologist 600 N Jordan Ave, Bloomington, IN 47405-3190 2018-07-03
1891212767 George Brandon Muncy Counselor 600 N Jordan Ave, Bloomington, IN 47405-3190 2017-08-23
1871013045 Molly Elaine Mckelfresh Counselor 600 N Jordan Ave, Bloomington, IN 47405-3190 2017-06-20
1487193512 David Boncek Physical Therapist 600 N Jordan Ave, Bloomington, IN 47405-3190 2017-02-22
1336539345 Michelle Dodson Dietitian, Registered 600 N Jordan Ave, Bloomington, IN 47405-3190 2015-01-28
1093105124 Kelly Lazzell Dietitian, Registered 600 N Jordan Ave, Bloomington, IN 47405-3190 2015-01-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245786896 Jennifer Whitley Speech-Language Pathologist 200 S. Jordan Avenue, Bloomington, IN 47405 2016-09-01
1801342621 William Daniels Jr. Health Educator 600 N. Jordan Ave., Bloomington, IN 47405 2016-08-31
1588053664 Sara Anne Boyer Preventive Medicine 1025 E. 7th Street, Rm C200, School of Public Health, Indiana University, Bloomington, IN 47405 2015-01-13
1437438181 Walter Lawrence Campbell Counselor 600 N. Jordan Ave, Bloomington, IN 47405 2011-08-12
1568580314 Linda Jean Noble Physical Therapist Indiana University Health Center, 600 North Jordan Ave., Bloomington, IN 47405 2007-03-27
1811482854 Alexandria Lui Optometrist 744 E 3rd St, Bloomington, IN 47405 2018-06-22
1295234763 Joshua Allan Stommes Optometrist 800 E Atwater Ave, Bloomington, IN 47405 2018-02-09
1366432528 Rebecca D. Eberle Speech-Language Pathologist 200 S Jordan Ave, Department of Speech and Hearing Sciences, Bloomington, IN 47405 2005-10-27
1477171122 Ellen Vaughan Psychologist 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 2020-07-09
1245352855 Kimberly Wagner Psychologist 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 2007-04-04
Find all providers in zip 47405

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780210872 Sean Alexander Abraham Social Worker 1355 W Bloomfield Rd Ste 3, Bloomington, IN 47403-2051 2020-03-20
1407487879 Michelle Fitzpatrick Social Worker 7900 International Dr Ste 300, Bloomington, MN 55425-2562 2020-02-03
1609364603 Sarah Lizet Shields Social Worker 202 N Prospect Rd Ste 205, Bloomington, IL 61704-7920 2018-04-25
1972961001 Kadar Hadis Social Worker 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 2016-02-03
1720468796 Tamara Brennan Social Worker 19897 Lakewood Dr, Bloomington, IL 61705-4003 2015-06-04
1740602119 Eric Allen Sader Social Worker 401 N Morton St Ste 130, Bloomington, IN 47404-3729 2014-01-20
1265713267 Brenda Anastasia Rogers Social Worker 10701 Cedar Ave Spc 81, Bloomington, CA 92316-2736 2011-09-02
1629370812 Cassandra Mcconn Inc Social Worker 3716 E Cameron Ave, Bloomington, IN 47401-4212 2010-11-22
1194933093 Eda S. Flores-miranda Social Worker 2703 Mcgraw Dr Ste 3, Bloomington, IL 61704-6089 2007-05-21
1871709600 Jan Ellen Taylor Schultz Social Worker 3925 Hagan Street, Suite 203, Bloomington, IN 49401 2007-05-16
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 47405

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Dataset Information

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.

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