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

Susan Eunji Kim, LCSW

Individual provider Mental Health Counselor · NPI 1750857751

Susan Eunji Kim, LCSW is a Clinical Social Worker in Riverside, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
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

11870 Pierce St Ste 200
Riverside, CA 92505-5186
Phone: (951) 248-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 520 S Lafayette Park Place 3rd Floor, Los Angeles, CA 90057-5400 — (213) 252-2100
  • 13800 Heacock St Ste D111, Moreno Valley, CA 92553-3340 — (951) 653-1800

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 114780 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence 83283 (CA)

Record details

NPI number1750857751
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 17, 2018
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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