Active NPIIndividual providerSole proprietor

Haely Kim, LCSW

Social Worker, Clinical in Easton, Connecticut

NPI Number1063746600
Practice location
104 Morehouse RD, Easton, CT 06612-2100
Fax
—
Last updated
June 14, 2024

Haely Kim is a Social Worker, Clinical based in Easton, CT. Haely Kim practices in Easton, CT and has the professional credentials of LCSW. The NPI Number for Haely Kim is 1063746600 and holds a License No. 084966 (NY). The current practice location address for Haely Kim is 104 Morehouse RD, Easton, CT 06612-2100 and can be reached out via phone at 718-490-6563.

Provider Profile Details

NPI Number
1063746600
Provider Name
Haely Kim
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
104 Morehouse RD, Easton, CT 06612-2100
Phone Number
718-490-6563
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2009
Last Update Date
June 14, 2024
Certification Date
June 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Morehouse RD
Easton, CT 06612-2100
City
Easton
Zip
06612-2100
Phone Number
718-490-6563
Easton, CT 06612Get directions →

Provider Business Mailing Address Details

Address
104 Morehouse RD
Easton, CT 06612-2100
City
Easton
State
CT
Zip
06612-2100
Phone Number
718-490-6563

License Information

License Number (1)
084966
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
12430
License State (2)
CT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Easton, CT

View all Social Worker, Clinical providers in Easton →

Frequently Asked Questions

What is the NPI number of Haely Kim, LCSW?

The NPI number of Haely Kim, LCSW is 1063746600. It was assigned on September 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Haely Kim, LCSW?

Haely Kim, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 084966.

Where does Haely Kim, LCSW practice?

The practice location is 104 Morehouse RD, Easton, CT 06612-2100. The office can be reached at 718-490-6563 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063746600 directly on the NPPES registry website.

Browse related providers