Active NPI
Mary Lee King, MSSA, LCSWA
- Social Worker
- Wake Forest, NC
National Provider Identifier
1356262208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P023644
- Practice address
- 3325 Donner TRL
Wake Forest, NC 27587-8842 - Phone
- (336) 601-9704
- NPI assigned
- Jul 24, 2026
- Last updated
- Jul 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | P023644 | NC | Primary |
Addresses
Primary practice location
3325 Donner TRL
Wake Forest, NC 27587-8842
Mailing address
3325 Donner TRL
Wake Forest, NC 27587-8842
Phone (336) 601-9704
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P023644 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1356262208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 DONNER TRL",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878842",
"telephone_number": "336-601-9704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 DONNER TRL",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878842",
"telephone_number": "336-601-9704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MARY",
"middle_name": "LEE",
"credential": "MSSA, LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P023644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.