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

Jennie Jeongwon Kim

Individual provider Clinical Social Worker · NPI 1609528660

Jennie Jeongwon Kim is a Clinical Social Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

510 S Vermont Ave Fl 22
Los Angeles, CA 90020-1992
Phone: (213) 738-2877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 96148 (CA)

Record details

NPI number1609528660
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2022
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Other providers in Los Angeles