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

Johnny Kim, LCSW

Individual provider Mental Health Counselor · NPI 1578134425

Johnny Kim, LCSW is a Clinical Social Worker in Creve Coeur, Missouri. Qualified in 2023, 3 years ago. Licensed in Illinois and Missouri.

Years since qualifying
3
Licensed in
IL, MO
In the registry since
2021
Specialties on file
3
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

677 Craig Rd Ste 214
Creve Coeur, MO 63141-7125
Phone: (314) 669-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2023038331 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 149.028195 (IL)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1578134425
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 1, 2021
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Creve Coeur