Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Nakyung Im, LICSW, LADC1, IABMCP

Individual provider Clinical Social Worker · NPI 1962530790

Miss. Nakyung Im, LICSW, LADC1, IABMCP is a Clinical Social Worker in Brookline, Massachusetts. Qualified in 1971, 55 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
55
Licensed in
MA
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

308A Harvard St #2
Brookline, MA 02446-2900
Phone: (617) 738-9622
Fax: (617) 738-9623
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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 · Licence 103115 (MA)

Record details

NPI number1962530790
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LADC1 , IABMCP
Sole proprietorYes
NPI enumeratedMarch 1, 2007
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1971 (55 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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