Minsoo Kim, LCSW-R
NPI 1902106024 · Clinical Social Worker · Queens Village, NY
Enrolled with Medicare as Order and Referring Only - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Minsoo Kim, LCSW-R is a Clinical Social Worker provider in Queens Village, NY (NPI 1902106024).
Provider details
- NPI number
- 1902106024
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW-R
- Sex
- Male
- Sole proprietor
- Yes
- License
- 082555-1 (NY)
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
2 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 (1)
- 8114 Queens BlvdElmhurst, NY 11373-3789Phone: (718) 899-9810Fax: (718) 899-9699
Registry dates
- Enumerated
- 2010-10-22
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Frequently asked questions
- What is Minsoo Kim's NPI number?
- Minsoo Kim's National Provider Identifier (NPI) is 1902106024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Minsoo Kim's specialty?
- Minsoo Kim is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Minsoo Kim located?
- Minsoo Kim's practice location on file with NPPES is 7925 Winchester Blvd Bldg 40, Queens Village, NY 11427-2128.
- What is Minsoo Kim's phone number?
- The practice phone number listed in the NPPES registry for Minsoo Kim is (718) 464-7500.
- Does Minsoo Kim accept Medicare?
- Minsoo Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Minsoo Kim's NPI active?
- Yes — Minsoo Kim's NPI (1902106024) is active in the NPPES registry as of the last update on 2022-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.