Kristen Joy King, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090444 Issued in MI

Practice address

18223 E 10 Mile Rd Ste 100
Roseville, MI 48066-5821

Phone

(586) 778-5880

Fax

(586) 778-4362

NPI assigned

Jun 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen Joy King Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1326569351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WELLESLEY RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18223 E 10 MILE RD STE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665821",
            "telephone_number": "586-778-5880",
            "fax_number": "586-778-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KRISTEN",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "68010444",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KING",
            "middle_name": "JOY",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Saira Nishath Khan, O.D.
• Shahid Ali Khan, D.C.
• Kidney Consultants of Michigan PC
• Tiffany Ann Kilcline, COTAL
• Carolyn Kimble, LLPC
• Lusine B Kirakosyan, MD
• Ryan Robert Kittredge
• David James Klida, D.C.
• John A Knapp, M.D.
• David Kolman

• Clinical Social Worker in Roseville, MI
• Providers in Roseville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.