Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245113083 Individual Practitioner

Jiwon Kim

Speech-Language Pathologist • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Jiwon Kim is a registered healthcare professional specializing in Speech-Language Pathologist in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 7744424022
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
169 Specialists

Practicing in Worcester, MA (4034 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA SLP101789

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Erin Toohey , SLP

Speech-Language Pathologist

NPI 1063244937

Speech-Language Pathologist

Kerry Benedict , MS, CCC-SLP

Speech-Language Pathologist

NPI 1730791898

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 29, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2025

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744424022)

📍
Updated Business Mailing Address July 29, 2025

Registered at 465 MEADOW RD APT 8203, PRINCETON, NJ 085406361 (Tel: 3144895332)

👤
Provider Name / Credentials Updated July 29, 2025

Recorded as JIWON KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2025

Speech-Language Pathologist (License #SLP101789 in MA)

🟢
Initial NPI Registration & Enumeration July 29, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245113083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2025
Last Update: July 29, 2025
Sole Proprietor: No

Mailing Address

465 Meadow Rd Apt 8203

Princeton, NJ 085406361

Phone: 3144895332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.