Provider Demographics
NPI:1174925705
Name:TSUI, KWONG PIK KIM (MSW)
Entity type:Individual
Prefix:
First Name:KWONG PIK KIM
Middle Name:
Last Name:TSUI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KWONG PIK KIM
Other - Middle Name:
Other - Last Name:TSUI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:PO BOX 22285
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-0285
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:801 PORTOLA DRIVE, SUITE 203
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127
Practice Address - Country:US
Practice Address - Phone:415-295-2775
Practice Address - Fax:725-527-5775
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-26
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 247641041C0700X
NV10719-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical