MR. JAKE T KIM (NPI# 1154636603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154636603 |
| Entity Type | Individual |
| Full Name | MR. JAKE T KIM |
| Credential | LICSW |
| Practice Address |
7320 216th St Sw Suite 200 Edmonds WA 98026-8006 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 4256404900 |
| Practice Fax Number | 4256404919 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2015-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60218364 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
081733 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245774355 | Jake Kim | Nurse Practitioner | 1468 Madison Avenue, Box 1495, New York, NY 10029-6574 | 2016-12-08 |
| Street Address |
7320 216TH ST SW SUITE 200 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-8006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596866 | Joel R Hadfield | Pharmacist | 7320 216th St Sw, Ste 100, Edmonds, WA 98026-8006 | 2005-05-23 |
| 1982061784 | Katherine A. Severinghaus | Physical Therapist | 7320 216th St Sw, Suite 320, Edmonds, WA 98026-8006 | 2016-01-25 |
| 1568845253 | David A. Applbaum | Physician Assistant | 7320 216th St Sw, Suite 320, Edmonds, WA 98026-8006 | 2015-06-30 |
| 1922441500 | Trinity Sleep Services Inc | Durable Medical Equipment & Medical Supplies | 7320 216th St Sw, Suite 30, Edmonds, WA 98026-8006 | 2013-04-12 |
| 1912247883 | Laboratory Corporation of America | Clinical Medical Laboratory | 7320 216th St Sw, Suite 140, Edmonds, WA 98026-8006 | 2013-02-28 |
| 1902146509 | Laboratory Corporation of America | Clinical Medical Laboratory | 7320 216th St Sw, Suite 140, Edmonds, WA 98026-8006 | 2013-02-20 |
| 1346585841 | Stephanie Miller | Pharmacist | 7320 216th St Sw, Suite 100, Edmonds, WA 98026-8006 | 2012-12-10 |
| 1912256926 | David W Green | Pharmacist | 7320 216th St Sw, Edmonds, WA 98026-8006 | 2012-09-05 |
| 1831446947 | Michele Street | Pharmacist | 7320 216th St Sw, Suite 100, Edmonds, WA 98026-8006 | 2012-08-08 |
| 1720341597 | Michael John Wong | Pharmacist | 7320 216th St Sw, Suite 100, Edmonds, WA 98026-8006 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1013470699 | Cheryl Ann Snyder | Social Worker | 21231 Pioneer Way, Edmonds, WA 98026-7342 | 2019-04-10 |
| 1700332962 | Melissa Phares | Social Worker | 144 Railroad Ave Ste 226, Edmonds, WA 98020-4100 | 2016-08-28 |
| 1194103507 | Eamon Morgan | Social Worker | 8711 231st St Sw, Edmonds, WA 98026-8631 | 2015-05-18 |
| 1245678846 | Trina M Ademofe | Social Worker | 8303 212th St Sw, 5, Edmonds, WA 98026-7450 | 2013-06-05 |
| 1679881833 | Michelle Elaine Massey | Social Worker | 22112 78th Pl W, #101, Edmonds, WA 98026-7935 | 2010-09-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1831397785 | Beth Ann Griffith | Social Worker | 144 Railroad Ave Ste 205a, Edmonds, WA 98020-4121 | 2007-07-03 |
| 1790992337 | Colleen Carroll Holbrook | Social Worker | 420 5th Ave S Ste 201, Edmonds, WA 98020-3632 | 2007-05-16 |
| 1730115486 | Kary Melinda Addison | Social Worker | 406 Main St Ste 115, Edmonds, WA 98020-3166 | 2006-06-24 |
| 1831676592 | Kerry Lynn Mcarter | Social Worker | 23106 100th Ave W, Edmonds, WA 98020-5018 | 2018-07-25 |
| Find all providers in EDMONDS | ||||
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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.