Active NPI
Casey Kara King, LCSW-C
- Clinical Social Worker
- Fort George G. Meade, MD
National Provider Identifier
1356968697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17615
- Practice address
- 2480 Llewellyn Avenue
Fort George G. Meade, MD 20755-5800 - Phone
- (443) 848-8260
- NPI assigned
- Jul 2, 2020
- 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 | 17615 | MD | Primary |
Addresses
Primary practice location
2480 Llewellyn Avenue
Fort George G. Meade, MD 20755-5800
Mailing address
2480 Llewellyn Avenue
Fort George G. Meade, MD 20755-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD000 | Other | MD | OTHER PROVIDER INFORMATION |
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 |
|---|---|---|---|
| 17615 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1356968697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVENUE",
"city": "FORT GEORGE G. MEADE",
"state": "MD",
"postal_code": "207555800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVENUE",
"city": "FORT GEORGE G. MEADE",
"state": "MD",
"postal_code": "207555800",
"telephone_number": "443-848-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CASEY",
"middle_name": "KARA",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER PROVIDER INFORMATION",
"identifier": "VAD000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort George G. Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.