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

Pauline Kim

Individual provider Clinical Social Worker · NPI 1508686114

Pauline Kim is a Clinical Social Worker in Lynnwood, Washington. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2024
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Practice location Address checks out

2027 196th St SW Ste A205
Lynnwood, WA 98036-7073
Phone: (206) 558-4488
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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 SC61413396 (WA)

Record details

NPI number1508686114
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address2027 196th St Sw Ste A205, Lynnwood, WA 98036-7073

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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