Individual provider Active NPI

Sophia Grace King, LMSW

  • Social Worker
  • Hyattsville, MD
National Provider Identifier
1437991197
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
31506 Issued in MD
Practice address
2970 Belcrest Center Dr
Hyattsville, MD 20782-1987
Phone
(240) 714-5247
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 31506 MD Primary

Addresses

Primary practice location

2970 Belcrest Center Dr
Hyattsville, MD 20782-1987

Mailing address

2831 15TH St NW
Washington, DC 20009-4607
Phone (202) 462-4788

Other practice location 1

2831 15th St NW
Washington, DC 20009-4607
Phone (202) 462-4788

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

LicenseStateTypeSpecialty
31506MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1437991197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 15TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094607",
            "telephone_number": "202-462-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 BELCREST CENTER DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821987",
            "telephone_number": "240-714-5247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200094607",
            "country_code": "US",
            "telephone_number": "202-462-4788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "SOPHIA",
        "middle_name": "GRACE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "31506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.