JOLEEN BAKER KIM (LCSW INTERN) – Clinical Social Worker, NPI 1629583117
Clinical Social Worker
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
965 CLINICAL SOCIAL WORKER in UT
Loading map...
Provider Addresses for JOLEEN BAKER KIM (LCSW INTERN)
2480, Red Cliffs Drive, Middleton, St. George, Washington County, Utah, 84790, United States
ST GEORGE, UT 847905457
Phone: (435) 673-6446
Fax: (435) 652-8020
Type: Mailing
249 E TABERNACLE ST STE 100
ST GEORGE, UT 847702951
Phone: (435) 705-7574
Fax: (435) 652-8020
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240403002236 | I | Clinical Social Worker | DC | TBD |
| I20250304002645 | I | Clinical Social Worker | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84790)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | VA | |
| Mental Health Counselor | VA | |
| Nurse Practitioner | VA | |
| P S Y C H I A T R Y | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | VA | |
| Nurse Practitioner | FL | |
| Physician Assistant | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.