Individual provider Active NPI

Deborah Eve King, LCSW

  • Clinical Social Worker
  • Cottonwood, AZ
National Provider Identifier
1346860525
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22180 Issued in AZ
Practice address
707 E Mingus Ave
Cottonwood, AZ 86326-3746
Phone
(480) 600-1926
Fax
(928) 350-6417
NPI assigned
Apr 17, 2020
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09928557 CO
Clinical Social Worker 1041C0700X LCSW-22180 AZ Primary

Addresses

Primary practice location

707 E Mingus Ave
Cottonwood, AZ 86326-3746

Mailing address

1349 Coyote Rd
Prescott, AZ 86303-5334
Phone (480) 600-1926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240722004023 AZ Practitioner - Clinical Social Worker 0244776672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Rock Family Services LLCGroup PAC ID 4486099660, 4 clinicians

Practice addresses (Care Compare)

297 S Willard St
Cottonwood, AZ 86326-4125
Phone (928) 649-0447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09928557COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Family Services LLC CurrentSince Apr 25, 2024 Accepting new patients

Locations

297 S Willard St
Cottonwood, AZ 86326
Phone (928) 639-9596

707 E Mingus Ave
Ste 400
Cottonwood, AZ 86326
Phone (928) 647-0447

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1346860525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 COYOTE RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035334",
            "telephone_number": "480-600-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E MINGUS AVE",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263746",
            "telephone_number": "480-600-1926",
            "fax_number": "928-350-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DEBORAH",
        "middle_name": "EVE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928557",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.