Ji Eun Midlam, LCSW
NPI 1861791634 · Clinical Social Worker · San Diego, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ji Eun Midlam, LCSW is a Clinical Social Worker provider in San Diego, CA (NPI 1861791634).
Provider details
- NPI number
- 1861791634
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23030 (CA)
Specialties & taxonomies
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
4 documented practice locations
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
Additional practice locations (3)
- 8306 Wilshire Blvd # 617Beverly Hills, CA 90211-2382Phone: (323) 236-4685
- 2747 N Redda RdFresno, CA 93737-9619Phone: (559) 375-1413
- 7133 E Cornell AveFresno, CA 93737-0048Phone: (559) 375-1149
Registry dates
- Enumerated
- 2011-03-19
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Ji Eun Midlam's NPI number?
- Ji Eun Midlam's National Provider Identifier (NPI) is 1861791634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ji Eun Midlam's specialty?
- Ji Eun Midlam is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ji Eun Midlam located?
- Ji Eun Midlam's practice location on file with NPPES is 5694 Mission Center Rd Ste 602-497, San Diego, CA 92108-4355.
- What is Ji Eun Midlam's phone number?
- The practice phone number listed in the NPPES registry for Ji Eun Midlam is (619) 543-1613.
- Does Ji Eun Midlam accept Medicare?
- Ji Eun Midlam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ji Eun Midlam's NPI active?
- Yes — Ji Eun Midlam's NPI (1861791634) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.