Provider Demographics
NPI:1235887050
Name:KIM, ESTHER HYUNA (LCSW-C)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:HYUNA
Last Name:KIM
Suffix:
Gender:
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9711 WASHINGTONIAN BLVD STE 550
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5789
Mailing Address - Country:US
Mailing Address - Phone:202-487-3813
Mailing Address - Fax:
Practice Address - Street 1:12345 PARKLAWN DR STE 200
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1725
Practice Address - Country:US
Practice Address - Phone:202-487-3813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD163511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical