Provider Demographics
NPI:1083396766
Name:KIM, FAITH (MSW)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 PONTIUS AVE N APT 117
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5494
Mailing Address - Country:US
Mailing Address - Phone:513-900-7896
Mailing Address - Fax:
Practice Address - Street 1:419 S 2ND ST STE 2
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2234
Practice Address - Country:US
Practice Address - Phone:425-203-7201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker