PROF. MIKYONG KIM-GOH (NPI# 1871931188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871931188 |
| Entity Type | Individual |
| Full Name | PROF. MIKYONG KIM-GOH |
| Credential | PH.D., LCSW |
| Practice Address |
974 Verona Dr Fullerton CA 92835-3339 |
| Practice Telephone | 7146812119 |
| Mailing Telephone | 7146812119 |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2013-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS13994 | CA | Behavioral Health & Social Service Providers |
| Street Address |
974 VERONA DR |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| 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 |
|---|---|---|---|---|
| 1962017103 | Sofia Celestina Martinez | Social Worker | 835 Adlena Dr, Fullerton, CA 92833-2349 | 2020-09-14 |
| 1457826919 | Bridget Kathleen Russell | Social Worker | 136 Melville Dr, Fullerton, CA 92835-3531 | 2018-10-10 |
| 1033633847 | Christy C Molino | Social Worker | 225 N Highland Ave Apt 201, Fullerton, CA 92832-1847 | 2017-08-02 |
| 1780049403 | Joyce Riley | Social Worker | 523 Blue Water Ln, Fullerton, CA 92831-1854 | 2015-12-22 |
| 1235509589 | Jinwoo Chung | Social Worker | 2077 Owens Dr, Fullerton, CA 92833-5750 | 2015-09-29 |
| 1891137733 | Heather Joy Dale | Social Worker | 3500 Rosehedge Dr, Fullerton, CA 92835-1628 | 2013-07-19 |
| 1164701850 | Sylvia Sue Boden | Social Worker | 1661 E Chapman Ave Ste 1e, Fullerton, CA 92831-4061 | 2011-08-11 |
| 1326339227 | Margit Bane | Social Worker | 1631 S Pomona Ave Unit D26, Fullerton, CA 92832-3428 | 2011-04-26 |
| 1639489248 | David Calvillo | Social Worker | 3607 W Valencia Dr, Fullerton, CA 92833-3134 | 2010-10-15 |
| 1013224302 | Tammy Mckee | Social Worker | 401 East Imperial Hwy, Fullerton, CA 92835 | 2010-09-08 |
| Find all providers in FULLERTON | ||||
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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.