Active NPI
Lacee Maree King, LLMSW
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1376124818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1701 Olmstead Rd
Kalamazoo, MI 49048-3343 - Phone
- (269) 903-0550
- Fax
- (269) 903-0536
- NPI assigned
- Apr 16, 2021
- Last updated
- Apr 16, 2021
- 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 | MI | Primary |
Addresses
Primary practice location
1701 Olmstead Rd
Kalamazoo, MI 49048-3343
Mailing address
1701 Olmstead Rd
Kalamazoo, MI 49048-3343
Phone (269) 903-0550
Other names 1
- Ms. Lacee Maree Boone
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lking@kpep.com | Health Information Exchange (HIE) | Kalamazoo Probation Enhancement Program |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1376124818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 OLMSTEAD RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490483343",
"telephone_number": "269-903-0550",
"fax_number": "269-903-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 OLMSTEAD RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490483343",
"telephone_number": "269-903-0550",
"fax_number": "269-903-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "LACEE",
"middle_name": "MAREE",
"name_prefix": "Mrs.",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lking@kpep.com",
"affiliation": "Y",
"endpointDescription": "Direct Email",
"affiliationName": "Kalamazoo Probation Enhancement Program",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Email",
"address_1": "1701 Olmstead Rd",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490483343",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LACEE",
"last_name": "BOONE",
"middle_name": "MAREE",
"prefix": "MS.",
"credential": "LLMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.