Mary C King, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

09040014 Issued in VA

Practice address

8624 Appleton CT
Annandale, VA 22003-3806

Phone

(703) 978-4590

Fax

(703) 978-4590

NPI assigned

Jul 4, 2006

Last updated

Jan 8, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Womens Center

  dba The Women's Center

  • Clinical Social Worker
  • Vienna, VA
  • NPI 1164527859
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1154351906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 APPLETON CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033806",
            "telephone_number": "703-978-4590",
            "fax_number": "703-978-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8624 APPLETON CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033806",
            "telephone_number": "703-978-4590",
            "fax_number": "703-978-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "09040014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910910",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter D Kim, M.D.
• Sophia Kim
• Taihwan Kim, L.AC
• Yoon Ja Kim, CMT
• Young Ki Kim
• Isabel B. Kirk, MA, LPC
• Aaron M. Kistler, MD
• Shiloah Kline
• Khadija Sanam Kokab, PT
• Elaine Wolf Komarow, L. AC.

• Mental Health Counselor in Annandale, VA
• Providers in Annandale, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.