Individual provider Active NPI

Tre Louis King

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1144009887
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW14032 Issued in FL
Practice address
5710 NE Miami CT
Miami, FL 33137-2063
Phone
(786) 985-6930
NPI assigned
Sep 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34010797A IN
Clinical Social Worker 1041C0700X 0904016094 VA
Clinical Social Worker 1041C0700X ISW14032 FL Primary

Addresses

Primary practice location

5710 NE Miami CT
Miami, FL 33137-2063

Mailing address

1025 E Hallandale Beach Blvd # 1662
Hallandale Beach, FL 33009-4478
Phone (786) 985-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20231211001288 FL Practitioner - Clinical Social Worker 7315396959 Reassigns benefits to 1 organization
I20240201001350 DC Practitioner - Clinical Social Worker 7315396959 Reassigns benefits to 1 organization
I20260311003762 MA Practitioner - Clinical Social Worker 7315396959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW14032FLMDClinical Social Worker
34010797AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
On Point Counseling LLC CurrentSince Sep 24, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 5, 2023 Accepting new patients

Locations

1025 E Hallandale Beach Blvd
#1662
Hallandale Beach, FL 33009

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1144009887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E HALLANDALE BEACH BLVD # 1662",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094478",
            "telephone_number": "786-985-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 NE MIAMI CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372063",
            "telephone_number": "786-985-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TRE",
        "middle_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010797A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016094",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW14032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.