Healthcare Provider Details

I. General information

NPI: 1659573459
Provider Name (Legal Business Name): KIM ELISE DELIEMA MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIM MEYEROWITZ

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26932 OSO PKWY SUITE 200
MISSION VIEJO CA
92691-5815
US

IV. Provider business mailing address

500 S MAIN ST STE 1100
ORANGE CA
92868-4513
US

V. Phone/Fax

Practice location:
  • Phone: 949-374-4486
  • Fax:
Mailing address:
  • Phone: 805-252-3181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number26332
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: