Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053604645 Individual Practitioner Female Practitioner

Yu Jin Kang , CCC-SLP

Speech-Language Pathologist • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Yu Jin Kang, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fairfax, VA. Practice services are available at 8270 WILLOW OAKS CORPORATE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8270 Willow Oaks Corporate Dr

Fairfax, VA 220314511

Telephone 7038022689
Associated Practice Facility / Clinic
🏢 Fairfax County Public School Facility NPI 1477415743

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
361 Specialists

Practicing in Fairfax, VA (4974 Statewide)

Telehealth Adoption Rate
0.3% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202006294

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2202006294 (VA)

Secondary Practice Locations

42938 Golf View Drive

Chantilly, VA 201522007

Phone: 4432480771

42938 Golf View Drive

Chantilly, VA 201522007

Phone: 4432480771

Practice Associates & Co-Workers

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

40 Associated Practitioners
Alysa Daigle , MS, CAGS, NCSP

Psychologist - School

NPI 1003222894

Master of Science, CAGS, NCSP

Katherine Nethercote

Psychologist - School

NPI 1003310467
Elizabeth Laster , MSW

Social Worker - School

NPI 1003318775

Master of Social Work

Ana Maria Ringel

Speech-Language Pathologist

NPI 1003537879
Carol Pastoric , MS CCC-SLP

Speech-Language Pathologist

NPI 1013417633

MSCCCSLP

Deborah Glickman

Speech-Language Pathologist

NPI 1013418292

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 17, 2018

Registered at 8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 220314511 (Tel: 7038022689)

📍
Updated Business Mailing Address March 17, 2018

Registered at 8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 220314511 (Tel: 7038022689)

📍
Updated Practice Location February 27, 2018

Registered at 8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 220314511 (Tel: 7038022689)

📍
Updated Business Mailing Address February 27, 2018

Registered at 8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 220314511 (Tel: 7038022689)

NPI Profile Active May 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2011

Registered at 42938 GOLF VIEW DRIVE, CHANTILLY, VA 201522007 (Tel: 4432480771)

📍
Updated Business Mailing Address May 16, 2011

Registered at 42938 GOLF VIEW DR, CHANTILLY, VA 201522007 (Tel: 4432480771)

👤
Provider Name / Credentials Updated May 16, 2011

Recorded as YU JIN KANG, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2011

Speech-Language Pathologist (License #2202006294 in VA)

🟢
Initial NPI Registration & Enumeration May 16, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053604645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2011
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

8270 Willow Oaks Corporate Dr

Fairfax, VA 220314511

Phone: 7038022689

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.