Active NPI
Kayla Elizabeth King, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1043701295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110561
- Practice address
- 1430 Collier St
Austin, TX 78704-2911 - Phone
- (512) 445-7787
- Fax
- (512) 440-4059
- NPI assigned
- May 23, 2018
- Sex
- Female
- 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 | |||
| Clinical Social Worker | 1041C0700X | 110561 | TX | Primary |
Addresses
Primary practice location
1430 Collier St
Austin, TX 78704-2911
Mailing address
1430 Collier St
Austin, TX 78704-2911
Phone (512) 445-7787
Other practice location 1
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (857) 289-3749
Other practice location 2
85 E Newton St
Boston, MA 02118-2841
Phone (617) 414-8336
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110561 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Community Health Centers | Clinical | Current | Accepting new patients |
| Central Texas Community Health Centers | Current | Accepting new patients |
Locations
1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300
301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1598591414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1043701295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 COLLIER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042911",
"telephone_number": "512-445-7787",
"fax_number": "512-440-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 COLLIER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042911",
"telephone_number": "512-445-7787",
"fax_number": "512-440-4059"
}
],
"practiceLocations": [
{
"address_1": "55 Fogg Rd",
"address_purpose": "LOCATION",
"city": "Weymouth",
"state": "MA",
"postal_code": "021902432",
"country_code": "US",
"telephone_number": "857-289-3749",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "85 E Newton St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182841",
"country_code": "US",
"telephone_number": "617-414-8336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "KAYLA",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "110561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.