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

Ji Eun Midlam, LCSW

Individual provider Clinical Social Worker · NPI 1861791634

Ji Eun Midlam, LCSW is a Clinical Social Worker in San Diego, California. Graduated from University of Southern California Keck School of Medicine in 2002, 24 years ago. Practices as a sole proprietor, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
24
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2011
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

5694 Mission Center Rd Ste 602-497
San Diego, CA 92108-4355
Phone: (619) 543-1613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8306 Wilshire Blvd # 617, Beverly Hills, CA 90211-2382 — (323) 236-4685
  • 2747 N Redda Rd, Fresno, CA 93737-9619 — (559) 375-1413
  • 7133 E Cornell Ave, Fresno, CA 93737-0048 — (559) 375-1149

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23030 (CA)

Record details

NPI number1861791634
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 19, 2011
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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