Organization Active NPI

Annette Colleen King

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1316343437
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73053890 Issued in NY
Legal business name
ANNETTE COLLEEN KING
Practice address
731 James St
Syracuse, NY 13203-2026
Phone
(315) 708-9040
NPI assigned
Nov 17, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Ms. Annette Colleen King, LCSW-RNPI 1982094926
Title
Owner
Phone
(315) 415-3116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 73053890 NY Primary

Addresses

Primary practice location

731 James St
Syracuse, NY 13203-2026

Mailing address

126 Arsenal Dr
Syracuse, NY 13205-2801
Phone (315) 415-3116

National Provider Directory

National Provider Directory

Locations

731 James St
Syracuse, NY 13203
Phone (315) 708-9040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1316343437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 ARSENAL DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052801",
            "telephone_number": "315-415-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032026",
            "telephone_number": "315-708-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE COLLEEN KING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-415-3116",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73053890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.