Active NPIIndividual provider

Alice J Kim, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1184632663
Practice location
101 Main St, Suite 112, Medford, MA 02155-4540
Fax
781-396-5086
Last updated
April 10, 2013

Alice J Kim is a Social Worker, Clinical based in Medford, MA. Alice J Kim practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Alice J Kim is 1184632663 and holds a License No. 111412 (MA). The current practice location address for Alice J Kim is 101 Main St, Suite 112, Medford, MA 02155-4540 and can be reached out via phone at 781-338-7270 and via fax at 781-396-5086.

Provider Profile Details

NPI Number
1184632663
Provider Name
Alice J Kim
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
101 Main St, Suite 112, Medford, MA 02155-4540
Phone Number
781-338-7270
Fax Number
781-396-5086
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2006
Last Update Date
April 10, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Main St
Suite 112
Medford, MA 02155-4540
Zip
02155-4540
Phone Number
781-338-7270
Fax Number
781-396-5086
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
101 Main St
Suite 112
Medford, MA 02155-4540
City
Medford
State
MA
Zip
02155-4540
Phone Number
781-338-7270
Fax Number
781-396-5086

License Information

License Number
111412
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Alice J Kim, LICSW?

The NPI number of Alice J Kim, LICSW is 1184632663. It was assigned on August 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Alice J Kim, LICSW?

Alice J Kim, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111412.

Where does Alice J Kim, LICSW practice?

The practice location is 101 Main St, Suite 112, Medford, MA 02155-4540. The office can be reached at 781-338-7270 (phone) or 781-396-5086 (fax).

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 1184632663 directly on the NPPES registry website.

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