Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellis Kim, LCSW

Individual provider Clinical Social Worker · NPI 1578215257

Ellis Kim, LCSW is a Clinical Social Worker in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1541 S Bundy Dr Apt 204
Los Angeles, CA 90025-2576
Phone: (818) 590-6411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1578215257
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 24, 2022
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

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