Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114301934 Individual Practitioner Male Practitioner

Junyeon Paul Kim , LCSW, QMHP

Social Worker - Clinical • Salem, OR

Professional Overview & Biography Verified Profile Summary

Junyeon Kim, LCSW, QMHP is a registered healthcare professional specializing in Social Worker - Clinical in Salem, OR. Practice services are available at 2355 STATE ST STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2355 State St Ste 101

Salem, OR 973014541

Telephone 8033607783
Fax 9712511933
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.2 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
273 Specialists

Practicing in Salem, OR (5148 Statewide)

Telehealth Adoption Rate
6.2% 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: 2023-02-16
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OR L11257

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Social Worker

NUCC Taxonomy Code: 104100000X

State License OR A5807

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500734777 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Clara Fisher

Marriage & Family Therapist

NPI 1013731637
NPI 1023208410

Doctor of Philosophy (Ph.D.), Certified Rehabilitation Counselor, Licensed Professional Counselor, Licensed Professional Clinical Counselor

Nirit Stephens

Marriage & Family Therapist

NPI 1023850039
Beyounka Bonner

Counselor - Mental Health

NPI 1033965710
Lorinda Sanders , LCSW

Social Worker - Clinical

NPI 1063702793

Licensed Clinical Social Worker

Lauren Mullins

Counselor - Mental Health

NPI 1063862951

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location February 16, 2023

Registered at 2355 STATE ST STE 101, SALEM, OR 973014541 (Tel: 8033607783)

📍
Updated Business Mailing Address February 16, 2023

Registered at 3439 NE SANDY BLVD # 646, PORTLAND, OR 972321959 (Tel: 8033607783)

👤
Provider Name / Credentials Updated February 16, 2023

Recorded as JUNYEON KIM, LCSW/QMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2023

Social Worker (License #L11257 in OR)

👤
Provider Name / Credentials Updated December 09, 2019

Recorded as JUNYEON KIM, CSWA/QMHP

📍
Updated Practice Location October 10, 2019

Registered at 15 N MORRIS ST, PORTLAND, OR 972271541 (Tel: 5032309875)

📍
Updated Business Mailing Address October 10, 2019

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤
Provider Name / Credentials Updated October 10, 2019

Recorded as JUNYEON KIM, QMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2019

Counselor

📍
Updated Practice Location March 20, 2019

Registered at 14600 NW CORNELL RD, PORTLAND, OR 972295442 (Tel: 5036453581)

📍
Updated Business Mailing Address March 20, 2019

Registered at 14600 NW CORNELL RD, PORTLAND, OR 972295442 (Tel: 5036453581)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Counselor

NPI Profile Active July 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2015

Registered at 1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 981222735 (Tel: 2066022200)

📍
Updated Business Mailing Address July 10, 2015

Registered at 1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 981222735 (Tel: 2066022200)

👤
Provider Name / Credentials Updated July 10, 2015

Recorded as JUNYEON KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 10, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114301934
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2015
Last Update: February 16, 2023
Sole Proprietor: No

Mailing Address

3439 Ne Sandy Blvd # 646

Portland, OR 972321959

Phone: 8033607783

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.