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Daniel E Kim

Social Worker - Clinical β€’ Camp Pendleton, CA

Active NPI 1811236318 Individual Practitioner Male Practitioner
Practice location in NPPES

200 Mercy Cir
Camp Pendleton, CA 920555191

Call 7607251288 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 Mercy Cir

Camp Pendleton, CA 920555191

Telephone 7607251288
Organization at the Same NPPES Address or Phone
Intrepid Spirit Center Facility NPI 1184187296

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Camp Pendleton and California

19 active clinicians are listed under Social Worker - Clinical with a practice address in Camp Pendleton, CA (36,290 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Camp Pendleton

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-15
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES CA 79423

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES IL 149.015130

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
NPI 1265724553

Doctor of Medicine (M.D.)

Darren Couture , CRNA

Nurse Anesthetist, Certified Registered

NPI 1316912090

Certified Registered Nurse Anesthetist

Jason Duryee , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1477268936

Psychiatric-Mental Health Nurse Practitioner

Dr. Daniel Fisher , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1710266044

Doctor of Dental Surgery

Chelsea Henry , PA-C

Physician Assistant

NPI 1801525035

Physician Assistant (Certified)

Dr. Jessica Herold , DO

Emergency Medicine

NPI 1053795914

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 09, 2022

Registered at 200 MERCY CIR, CAMP PENDLETON, CA 920555191 (Tel: 7607251288)

πŸ“
Updated Business Mailing Address June 09, 2022

Registered at PO BOX 555191, CAMP PENDLETON, CA 920555191

βœ…
NPI Profile Active February 05, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 05, 2013

Registered at 1401 W HOLLYWOOD AVE, CHICAGO, IL 606604214 (Tel: 8003616880)

πŸ“
Business Mailing Address (Initial Record) February 05, 2013

Registered at 15127 S. 73D AVE, SUITE G, ORLAND PARK, IL 60462 (Tel: 7088455500)

πŸ‘€
Provider Name / Credentials (Initial Record) February 05, 2013

Recorded as DANIEL KIM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2013

Social Worker (license number reported to NPPES: IL 149.015130)

🟒
Initial NPI Registration & Enumeration February 05, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811236318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2013
Last Update: May 15, 2024
Sole Proprietor: No

Mailing Address

Po Box 555191

Camp Pendleton, CA 920555191

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.