Joselyn Kim | Las Vegas, NV • PECOS Search

Joselyn Kim

Social Worker

Behavioral Health & Social Service Providers

4580 S Eastern Ave Ste 29, Las Vegas, NV 89119-6100

PECOS Enrollment

Based on the most recent information from CMS, provider Joselyn Kim does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1386081669
Provider Type
Individual
Full Name
Kim, Joselyn
Credential
CSW-I

Gender
Female
Sole Proprietor
No
Enumeration Date
5/28/2013
Last Updated
3/11/2020

Contact Information

Practice Location

4580 S Eastern Ave Ste 29, Las Vegas, NV 89119-6100

Unlisted Fax

Mailing Location

4580 S Eastern Ave Ste 29, Las Vegas, NV 89119-6100

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License IC-1127 Nevada