Doctor profile · Federal record

Dr. Jake Kim, LICSW

Clinical Social Worker · Clinical Social Worker · Edmonds, WA

  • NPI 1154636603
  • Accepts Medicare
  • 16 yrs in practice
  • Licensed in 2 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
7320 216Th St Sw, Suite 200
Edmonds, WA 980268006
(425) 640-4900
fax (425) 640-4919
Mailing address
Po Box 25608
Salt Lake City, UT 841250608

Credentials & registration

NPPES · NUCC
NPI registered
August 2010 — 16 yrs on file
Profile last updated
July 10, 2015
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
1041C0700X — NUCC code
State licenses (2)
Washington #LW60218364 · New York #081733

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1154636603. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
171
Distinct HCPCS
3
Medicare allowed
$14,499
HCPCS Description Services Patients Avg allowed
90837 Psychotherapy, 1 hour 115 17 $101
90834 Psychotherapy, 45 minutes 36 12 $49
90832 Psychotherapy, 30 minutes 20 13 $56

In context: peer comparison

Among 2 peers in Edmonds Clinical Social Worker, average services per provider: 52. This provider delivers 3.3× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jake Kim's medical specialty?
Dr. Jake Kim practices Clinical Social Worker in Edmonds, WA.
Where does Dr. Jake Kim practice?
Dr. Jake Kim practices at 7320 216Th St Sw, Edmonds, WA 980268006. Office phone: 4256404900.
What is Dr. Jake Kim's NPI?
Dr. Jake Kim's National Provider Identifier (NPI) is 1154636603, issued by NPPES.
Does Dr. Jake Kim accept Medicare assignment?
Yes. Dr. Jake Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jake Kim commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837); Psychotherapy (HCPCS 90834); Psychotherapy (HCPCS 90832). Source: CMS Medicare Physician & Other Practitioners file.