Nickolaus King, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28530 Issued in MD

Practice address

10715 Charter Dr Ste 130
Columbia, MD 21044-2892

Phone

(410) 656-9010

NPI assigned

Jun 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE, PA, NJ4 enrollments

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 4

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Productive Psych LLC

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1649086729

  DE, Mental Health

  Medicare reassignment NPD Authorized official
• Reclaim and Restore Healing Company

  • Mental Health Counselor
  • Edgewood, MD
  • NPI 1699559179
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  DE, MD

  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  Mental Health, PA

  Medicare reassignment NPD
• Wagner Medical PC

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1235951187
  Medicare reassignment NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1124758602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 MILLENNIUM DR STE 300",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171527",
            "telephone_number": "410-656-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 CHARTER DR STE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442892",
            "telephone_number": "410-656-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Pennsylvania Ave NW Ste 900",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200063405",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "971 US Highway 202 N # 5623",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088763757",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4690 Millennium Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Belcamp",
            "state": "MD",
            "postal_code": "210171527",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 John F Kennedy Blvd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021733",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Continental Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134337",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "NICKOLAUS",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "28530",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025578",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06544300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200004715",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012675",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "Q1-0012675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinder Mender
• Kinder Mender LLC
• Kinder Mender, LLC
• Cassandra Brocato King, RBT
• Kim King, OTR/L
• Cheryl Kinnard, PA-C
• Emily Kinsler, CCC/SLP.D
• Rita Mbula Kioli
• Haylie Kircher
• Trinity Kirkland

• Clinical Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.