Individual provider Active NPI

Sara C King, MSW LICSW BCD

  • Clinical Social Worker
  • Mattapoisett, MA
National Provider Identifier
1477536803
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105084 Issued in MA
Practice address
19 County Rd
Mattapoisett, MA 02739-1584
Phone
(508) 758-3754
Fax
(508) 758-3755
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 105084 MA Primary

Addresses

Primary practice location

19 County Rd
Mattapoisett, MA 02739-1584

Mailing address

PO Box 71
19 County Rd
Mattapoisett, MA 02739-0071
Phone (508) 758-3754

Other identifiers 6

IdentifierTypeStateIssuer
326002OtherTRICARE
105084OtherTUFTS
2176964OtherCIGNA
6229366OtherUBH
013746OtherPACIFICAR
1851314MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105084MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Town Counseling, LLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477536803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "address_2": "19 COUNTY RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027390071",
            "telephone_number": "508-758-3754",
            "fax_number": "508-758-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 COUNTY RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391584",
            "telephone_number": "508-758-3754",
            "fax_number": "508-758-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SARA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "326002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "105084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2176964",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6229366",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICAR",
            "identifier": "013746",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851314",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapoisett, MA

Sources for this page

Verify at the official NPI Registry.