Lydia Kim is a Clinical Social Worker practicing in Carbondale, Illinois. The National Provider Identifier (NPI) is #1316898141, which was assigned on February 6, 2026, and the registration record was last updated on February 12, 2026. The practitioner's main practice location is at 374 E Grand Ave, Carbondale, IL 62901-3962; the contact telephone number is 6184523311. The primary taxonomy of Lydia Kim is Clinical Social Worker (1041C0700X), with specialization in Clinical. Lydia Kim is licensed to practice in the state of Illinois (#NA).
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
| NPI | 1316898141 |
| Entity Type | Individual |
| Provider Name | LYDIA KIM |
| Gender | Female |
| Practice Address |
374 E Grand Ave Carbondale IL 62901-3962 |
| Practice Telephone | 6184523311 |
| Mailing Address |
39 E Harbor Dr Lake Zurich IL 60047-3038 |
| Certification Date | 2026-02-12 |
| Enumeration Date | 2026-02-06 |
| Last Update Date | 2026-02-12 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 1041C0700X | Social Worker | Clinical | NA | IL |
| Address | Telephone | Fax |
|---|---|---|
| 1 Westminster Pl Ste 101, Lake Forest, IL 600451885 | 8479199096 | |
| 39 E Harbor Dr, Lake Zurich, IL 600473038 | 8475307092 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lydia Kim | 600 3rd Ave, New York, NY 10016-1901 | Clinical Social Worker | 2025-09-16 |
| Lydia Kim | 1468 Madison Ave, New York, NY 10029-6508 | Physician Assistant | 2025-08-06 |
| Lydia Kim | 125 W Thousand Oaks Blvd Ste 500, Thousand Oaks, CA 91360-4462 | Child & Adolescent Psychiatry Physician | 2018-08-01 |
| Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| Classification | Social Worker |
| Specialization | Clinical |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lisa Ann Roberson | 1370 Villaverde Ln, Charlottesville, VA 22902-7909 | Clinical Social Worker | 2026-04-11 |
| Joelle Koncelik Silva | 4615 Gentle Springs Dr, Arlington, TX 76001-7612 | Clinical Social Worker | 2026-04-11 |
| Miriam Frunza | 4221 Wilshire Blvd, Los Angeles, CA 90010-3512 | Clinical Social Worker | 2026-04-11 |
| Lynne Caren Rossler | 12421 Cascades Pointe Dr, Boca Raton, FL 33428-4854 | Clinical Social Worker | 2026-04-11 |
| The Life Center Complex, Inc | 190 Salem Church Rd, Newark, DE 19713-2938 | Clinical Social Worker | 2026-04-11 |
| Jena Kwon | 45 Central Ave Apt B, Tenafly, NJ 07670-1741 | Clinical Social Worker | 2026-04-10 |
| Siyad Ali Sahal | 6324 Lyndale Ave S Unit 304, Richfield, MN 55423-7538 | Clinical Social Worker | 2026-04-11 |
| Joyful Journeys Wellness Center | 13087 E 11 Mile Rd, Warren, MI 48088-4795 | Clinical Social Worker | 2026-04-11 |
| The Life Center Complex, Inc | 750 E Delaware Ave, Newark, DE 19711-7185 | Clinical Social Worker | 2026-04-11 |
| The Life Center Complex, Inc | 852 S Little Creek Rd, Dover, DE 19901-4722 | Clinical Social Worker | 2026-04-11 |
| Find all providers with the same taxonomy | |||
| Street Address |
374 E GRAND AVE |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3962 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jill Bethany Wilson | 374 E Grand Ave, Carbondale, IL 62901-3962 | Nurse Practitioner | 2012-03-30 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Stephanie Gadbois | 2601 W Main St, Carbondale, IL 62901-1031 | Family Medicine Physician | 2012-07-05 |
| Sherry K Jones · Sherry L Klam | 101 S Wall St, Carbondale, IL 62901 | Obstetrics & Gynecology Physician | 2005-08-02 |
| Melissa A Martinez Mateo · Melissa Martinez Visalli | 2601 W Main St, Carbondale, IL 62901-1031 | Gastroenterology Physician | 2010-09-21 |
| Tionsha Meon Hollon | 705 N Springer St, Carbondale, IL 62901-1253 | Attendant Care Provider | 2025-11-24 |
| Olivia Douthitt | 300 W Oak St, Carbondale, IL 62901-1400 | Physician Assistant | 2025-09-09 |
| Radbod J Movassagh | 300 W Oak St, Carbondale, IL 62901-1400 | Family Medicine Physician | 2021-12-29 |
| Alaa Mohamed Ahmed | 2601 W Main St, Carbondale, IL 62901-1031 | Child & Adolescent Psychiatry Physician | 2017-07-11 |
| Arbaz Syed Riaz | 300 W Oak St Ste 200, Carbondale, IL 62901-1400 | Family Medicine Physician | 2023-06-29 |
| John Lancas | 201 E Main St, Suite 2g, Carbondale, IL 62901 | Psychiatry Physician | 2006-09-16 |
| Satyanarayana Rao Vaidya | 405 W Jackson, Carbondale, IL 62901 | Internal Medicine Physician | 2008-09-22 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lydia Khan · Lydia Hendricks | 556 S Pike W, Sumter, SC 29150-2616 | Social Worker | 2017-10-16 |
| Lydia Besterfeldt · Lydia Wilkerson | 6862 Elm St Ste 450, Mc Lean, VA 22101-3838 | Psychiatric/Mental Health Nurse Practitioner | 2018-04-13 |
| Lydia Lemiesz · Lydia Lange | 649 Puller Place, Apt A, San Clemente, CA 92672 | Behavior Technician | 2026-01-26 |
| Lydia E Odell · Lydia E Martin | 630 E North Ave, Carol Stream, IL 60188-2127 | Family Nurse Practitioner | 2019-07-17 |
| Lydia W Norton · Lydia Waguespack | 1301 S. Capital of Texas Hwy, Building A Ste. 230, Austin, TX 78746 | Pediatrics Physician | 2006-03-07 |
| Lydia Winkles · Lydia Anne Gross | 1601 Greene St, Columbia, SC 29208-4001 | Student in an Organized Health Care Education/Training Program | 2025-09-02 |
| Lydia Kay Perez · Lydia Kay Carlson | 721 N Pines Rd, Spokane Valley, WA 99206-5225 | Clinical Social Worker | 2018-11-29 |
| Lydia Kay Pagniucci · Lydia Borg | 887 Potrero Ave, L-Unit, San Francisco, CA 94110-2869 | Counselor | 2008-10-21 |
| Lydia Piutau · Lydia Garner Zvenyika | 5556 Atlanta Hwy Ste 3a, Flowery Branch, GA 30542-3552 | Clinical Social Worker | 2007-12-14 |
| Lydia Lutz · Lydia Bias | 3570 Warrensville Center Rd Ste 106, Shaker Heights, OH 44122-5226 | Speech-Language Pathologist | 2023-05-08 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |