Eric Omar King, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

25 Belmont St
Amesbury, MA 01913

Phone

(978) 500-5937

NPI assigned

Nov 29, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Travis Corp

  • School Counselor
  • Lawrence, MA
  • NPI 1407106990
  NPD (past)

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1073083390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BELMONT ST",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "01913",
            "telephone_number": "978-500-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BELMONT ST",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "01913",
            "telephone_number": "978-500-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ERIC",
        "middle_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Keyes, PMHNP-BC
• Shabnam Khalifa
• Victoria Kilroy, MSPT
• Jieun Kim
• Kimsu Marder, Pmhnp-BC, CCM, PLLC
• Regula Kissling
• Tori Kittrell
• Danielle Kline, PT, DPT, NCS
• Ruth Kranzke
• Shannon Michelle Krisko

• Clinical Social Worker in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.