Individual
AILEEN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
356 W 18TH ST FL 6, NEW YORK, NY 10011-4401
(212) 271-7167
Mailing address
356 W 18TH ST FL 6, NEW YORK, NY 10011-4401
(212) 271-7167
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
096297
NY
1041C0700X
Clinical Social Worker
Primary
092370
NY
Other
Enumeration date
09/10/2020
Last updated
03/06/2025
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