Doctor Name: | DANIEL K KIM |
NPI Number: | 1053691022 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | R030211-1 |
Business Practice Address: | 40 Mitchell Ave Binghamton, NY - 139031619 |
Business Phone Number: | 6077762391 |
Business Fax Number: | |
Mailing Address: | 346 Grand Ave, JOHNSON CITY |
State: | NY |
Postal Code: | 137902580 |
Phone Number: | 6077298156 |
Fax Number: | 6077293982 |
NPI Enumeration Date: | 08/23/2011 |
NPI Last Update Date: | 08/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R030211-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |