Active NPI
Minerva Melody King, LCSW
- Clinical Social Worker
- West Palm Beach, FL
National Provider Identifier
1336441401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11224
- Practice address
- 1870 Forest Hill Blvd
Suite 200
West Palm Beach, FL 33406-8901 - Phone
- (561) 904-6514
- Fax
- (561) 776-4213
- NPI assigned
- Nov 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW11224 | FL | Primary |
Addresses
Primary practice location
1870 Forest Hill Blvd
Suite 200
West Palm Beach, FL 33406-8901
Mailing address
16764 121St Ter N
Jupiter, FL 33478-6006
Phone (561) 909-7011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003275100 | Medicaid | FL |
Other names 1
- Mrs. Minnie Melody King
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW11224 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal the Trauma | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Jupiter, FL
- NPI 1033920442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1336441401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16764 121ST TER N",
"city": "JUPITER",
"state": "FL",
"postal_code": "334786006",
"telephone_number": "561-909-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1870 FOREST HILL BLVD",
"address_2": "SUITE 200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334068901",
"telephone_number": "561-904-6514",
"fax_number": "561-776-4213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MINERVA",
"middle_name": "MELODY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-23",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003275100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MINNIE",
"last_name": "KING",
"middle_name": "MELODY",
"prefix": "MRS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.