Kimberly L King

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63408 Issued in TX

Practice address

1011 W Loop 281 Ste 5
Longview, TX 75604-2932

Phone

(903) 445-4672

NPI assigned

Sep 18, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sabine Valley Regional MHMR Center

  dba Community Healthcore

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, TX
  • NPI 1639232002

  Clinical

  Medicare reassignment NPD
• Christy R. Collins, LCSW Inc

  • Clinical Social Worker
  • Longview, TX
  • NPI 1629551486
  NPD
• Karin Clements Counseling PLLC

  • Clinical Social Worker
  • Longview, TX
  • NPI 1710699467
  NPD
• Sabine Valley Regional MHMR Center

  dba Community Healthcore

  • Family Medicine Physician
  • Longview, TX
  • NPI 1841835022
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1023788247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 SAPPHIRE ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756023729",
            "telephone_number": "903-445-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W LOOP 281 STE 5",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042932",
            "telephone_number": "903-445-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindstar, Inc. (Accolade Home Care)
• Kindstar, Inc. (Accolade Home Care)
• Brian E King, MD
• Craig Kent King, MD
• Jerry Lee King, O.D.
• Spencer B King
• Willia D King
• King's Management & Leasing LLC (Longview Imaging Center)
• Kinsman Enterprises, Inc. (Accel at Home)
• Damien W Kinzler, DO

• Clinical Social Worker in Longview, TX
• Providers in Longview, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.