ALICE J KIM (NPI# 1184632663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184632663 |
| Entity Type | Individual |
| Full Name | ALICE J KIM |
| Credential | LICSW |
| Practice Address |
101 Main St Suite 112 Medford MA 02155-4540 |
| Practice Telephone | 7813387270 |
| Practice Fax Number | 7813965086 |
| Mailing Telephone | 7813387270 |
| Mailing Fax Number | 7813965086 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
111412 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235507641 | Alice Eun Kim | Acupuncturist | 2707 Maryannes Ct, North Wales, PA 19454-2021 | 2015-09-02 |
| 1679736854 | Alice May Kim | Emergency Medicine | 221 E Cullerton St, Apt 1021, Chicago, IL 60616-1386 | 2008-07-08 |
| 1972643369 | Alice H Kim | Marriage & Family Therapist | 405 W 5th St Ste 425, Santa Ana, CA 92701-4599 | 2007-02-07 |
| 1821008137 | Alice Kim | Social Worker | 453 Carlisle Dr, Suite 104, Herndon, VA 20170-5611 | 2006-08-09 |
| 1407854797 | Alice Yang-hee Kim | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2005-07-11 |
| 1265039804 | Alice Kim | Counselor | 6095 Pine Mountain Rd Nw Ste 105, Kennesaw, GA 30152-3332 | 2020-10-06 |
| 1730616145 | Alice Jen Kim | Podiatrist | 3095 Old Conejo Rd Ste 100, Thousand Oaks, CA 91320-2130 | 2017-05-16 |
| 1104352095 | Alice Yeonkyung Kim | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2017-05-11 |
| 1740711357 | Alice Yon Kim | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2017-03-24 |
| 1437519683 | Alice Kim | Pharmacist | 1199 Amboy Ave, Edison, NJ 08837-2552 | 2016-03-01 |
| Street Address |
101 MAIN ST SUITE 112 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809411 | Raymond S. Murano | Podiatrist | 101 Main St, Ste 207, Medford, MA 02155-4530 | 2005-05-30 |
| 1063805851 | Diane Coste | Nurse Practitioner | 101 Main St, Suite 110, Medford, MA 02155-4540 | 2015-03-18 |
| 1942543764 | Neelam M. Thacker, M.d. | Clinic/Center | 101 Main St, #210, Medford, MA 02155-4540 | 2013-03-29 |
| 1801134416 | Jason M. Gilbert, M.d.p.c. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2013-01-17 |
| 1275878076 | Nicole Marie Hersel | Nurse Practitioner | 101 Main St, Suite 201, Medford, MA 02155-4540 | 2012-12-05 |
| 1033491766 | H. Gregory Ota, M.d., P.c | Clinic/Center | 101 Main St, Suite 216, Medford, MA 02155-4540 | 2011-09-20 |
| 1679866156 | Anthony Michael Paolucci | Dentist | 101 Main St, #206, Medford, MA 02155-4540 | 2011-05-17 |
| 1235434762 | Karen Ann Quigley | Dentist | 101 Main St, Suite 206, Medford, MA 02155-4540 | 2011-01-13 |
| 1023348935 | Jason M. Gilbert, M.d. P.C. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2009-12-29 |
| 1215164744 | James Andriotakis | Physical Medicine & Rehabilitation | 101 Main St, Suite 101, Medford, MA 02155-4540 | 2009-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| 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 |
|---|---|---|---|---|
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1962053348 | Monica Lorraine Schlie | Social Worker | 18 Forrest Ave, Medford, NY 11763-2609 | 2019-09-26 |
| 1578129623 | Patricia M Sullivan | Social Worker | 29 Welgate Rd, Medford, MA 02155-2150 | 2019-05-14 |
| 1013483841 | Howard David Harris | Social Worker | 259 Park St - Apt. 2, Medford, MA 02155-2666 | 2018-10-19 |
| 1871078469 | Lorraine Lafata | Social Worker | 14 Kilsyth Rd Fl 1, Medford, MA 02155-6522 | 2018-09-28 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1184108292 | Nancy Ann Woodfork | Social Worker | 3600 Mystic Valley Pkwy Apt W315, Medford, MA 02155-5741 | 2018-09-24 |
| 1295218758 | Julia Dennon Wise | Social Worker | 17 Wyman St, Medford, MA 02155-3401 | 2018-09-11 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1932680840 | Shreya Bansal | Social Worker | 3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907 | 2018-08-28 |
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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.