Jake Kim, LICSW
NPI 1154636603 · Clinical Social Worker · Edmonds, WA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Kim, LICSW is a Clinical Social Worker provider in Edmonds, WA (NPI 1154636603).
Provider details
- NPI number
- 1154636603
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 081733 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-09
- Last updated
- 2015-07-10
Frequently asked questions
- What is Jake Kim's NPI number?
- Jake Kim's National Provider Identifier (NPI) is 1154636603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Kim's specialty?
- Jake Kim is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jake Kim located?
- Jake Kim's practice location on file with NPPES is 7320 216th St Sw, Edmonds, WA 98026-8006.
- What is Jake Kim's phone number?
- The practice phone number listed in the NPPES registry for Jake Kim is (425) 640-4900.
- Does Jake Kim accept Medicare?
- Jake Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Kim's NPI active?
- Yes — Jake Kim's NPI (1154636603) is active in the NPPES registry as of the last update on 2015-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.