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

Stephanie Kim, LSW

Individual provider Social Worker · NPI 1396547154

Stephanie Kim, LSW is a Clinical Social Worker in Gurnee, Illinois. Qualified in 2024, 2 years ago. Registered with an NPI since 2025.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1800 Nations Dr Ste 211
Gurnee, IL 60031-9173
Phone: (224) 424-4194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1396547154
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 21, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Gurnee