Jacky Jaeok Kim
Clinical Social Worker · Eugene, OR
Jacky Jaeok Kim is a clinical social worker with a practice address in Eugene, Oregon, and NPI 1790506665, issued on Oct 22, 2024. Check the license (Oregon L17503, as entered in NPPES) with the Oregon board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacky Jaeok Kim
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- L17503 OR
SWI.LW.70016961 WA
Self-reported in NPPES; status is on the state search - Practice location
- 235 W 10TH Ave, Eugene, OR 97401
- Phone
- (541) 515-7800
- Enumerated
- Oct 22, 2024
- Record last updated
- Jun 23, 2026
- Medicare enrollment
- Enrolled (PECOS I20260213003732); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 5,014 in Oregon → Look up another NPI →
Also registered at 235 W 10TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Elisa Olalde, L.M.T.Massage Therapist1689797060
Verify Jacky Jaeok Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license L17503Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jacky Jaeok Kim among 5,014 clinical social worker records in Oregon
Jacky Jaeok Kim is one of 5,014 clinical social worker records with a practice address in Oregon. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 92% of them.
- NPI issued2024 · 92% of these records are older, 5% newer
- In a Medicare fileNo · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2018 · median 2011 among the 1,044 with a school on file
- Record last updated2026 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
392 clinical social worker records list a practice address in Eugene
They are 392 of the 8,239 NPPES records with a practice address in Eugene, and 5,014 clinical social worker records in Oregon. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 5,014 in Oregon → Every provider in Eugene → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Richard Gross, LCSWEugene, OR 974011891764270
- Angela Guion, LCSW, LISWEugene, OR 974011336192467
- Helen Jackson, LCSWEugene, OR 974011952345803
- Sheliah Mosley, MSW, LCSWEugene, OR 974011104862994
- Patricia Nadel, LCSWEugene, OR 974011891739181
- A. Quest, LCSWEugene, OR 974011396778338
- Gail Richards, MSS LCSWEugene, OR 974011811967615
- Sheryl Sabo, LCSWEugene, OR 974011639101561
Common questions
What is Jacky Jaeok Kim's NPI number?
Jacky Jaeok Kim's National Provider Identifier (NPI) is 1790506665, issued on Oct 22, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Jacky Jaeok Kim located?
The NPPES record lists a practice address at 235 W 10TH Ave, Eugene, OR, 97401. Phone: (541) 515-7800. Providers update this record themselves, so call before visiting.
How can I verify Jacky Jaeok Kim's license?
NPPES lists Oregon license number L17503, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.