Active NPI
Monte King, LCSW, MSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1023540911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2335 W 18TH St
Jacksonville, FL 32209-4560 - Phone
- (904) 781-8685
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
2335 W 18TH St
Jacksonville, FL 32209-4560
Mailing address
PO Box 551201
Jacksonville, FL 32255-1201
Phone (904) 525-0885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1023540911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322551201",
"telephone_number": "904-525-0885",
"fax_number": "904-781-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 W 18TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322094560",
"telephone_number": "904-781-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MONTE",
"name_prefix": "Mr.",
"credential": "LCSW, MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.