Physician Compare National (NPI:1932223609)

HEALTHCARE PROVIDER: SARAH KIM LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932223609
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799094447
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151020000052
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KIM
	Individual professional last name
Provider First Name	SARAH
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	32 WASHINGTON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	2B2
	Group Practice or individual's line 2 address
City	TENAFLY
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	076703216
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2017682303
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y