Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154636603 Individual Practitioner Male Practitioner

Jake T Kim , LICSW

Social Worker - Clinical • Edmonds, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jake Kim, LICSW is a certified Social Worker - Clinical practicing in Edmonds, WA. With approximately 16 years of clinical experience since completing medical education in 2010, Jake Kim delivers high-quality medical care to the local community at 7320 216TH ST SW.

Jake Kim is affiliated with Sequim Counseling Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7320 216th St Sw
Suite 200

Edmonds, WA 980268006

Telephone 4256404900
Fax 4256404919
Associated Practice Facility / Clinic
🏢 Swedish Edmonds Facility NPI 1518961051

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Edmonds, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -2.8 yrs vs City Avg
City Avg: 18.8 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
45 Specialists

Practicing in Edmonds, WA (6524 Statewide)

Telehealth Adoption Rate
17.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (16 Years) 16 Yrs
Edmonds Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
115 17 $393.12 $100.91
90834 Psychotherapy, 45 minutes
36 12 $277.96 $49.20
90832 Psychotherapy, 30 minutes
20 13 $213.93 $56.18

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WA LW60218364

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License NY 081733

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.

Hospital & Practice Group Affiliations

Sequim Counseling Llc

435 W Bell St, Sequim, WA 983822916

Phone: 3602074345

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. Anita Chopra , MD

Internal Medicine

NPI 1043526049

Doctor of Medicine (M.D.)

Dr. Drake Cramer , DO

Internal Medicine

NPI 1063972149

Doctor of Osteopathic Medicine (D.O.)

NPI 1124080734

Doctor of Medicine (M.D.)

Dr. Linda Strong , MD

Internal Medicine

NPI 1215999826

Doctor of Medicine (M.D.)

Dr. Jungeun Lee , MD

Internal Medicine

NPI 1255772505

Doctor of Medicine (M.D.)

Dr. Carol Venable , MD

Internal Medicine

NPI 1285665760

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2015

Registered at 7320 216TH ST SW, SUITE 200, EDMONDS, WA 980268006 (Tel: 4256404900)

📍
Updated Business Mailing Address July 10, 2015

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

👤
Provider Name / Credentials Updated July 10, 2015

Recorded as JAKE KIM, LICSW

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

Social Worker (License #LW60218364 in WA)

🟢
Initial NPI Registration & Enumeration August 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jake Kim. Be the first to share your experience!

Sign in to leave a review for Jake Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154636603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2010
Last Update: July 10, 2015
Sole Proprietor: Yes

Mailing Address

Po Box 25608

Salt Lake City, UT 841250608

Phone: 2063204476

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.