Michelle Lynn King, LMSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

062306 Issued in NY

Practice address

303 Roby Ave
East Syracuse, NY 13057-1800

Phone

(315) 434-3805

Fax

(315) 434-3820

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Lynn Hendricks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1487296687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ROBY AVE",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571800",
            "telephone_number": "315-434-3805",
            "fax_number": "315-434-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ROBY AVE",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571800",
            "telephone_number": "315-434-3805",
            "fax_number": "315-434-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "062306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HENDRICKS",
            "middle_name": "LYNN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Khanzadian
• Elizabeth M Kiggins, PT
• Sang W Kim, MD
• Leah Marion King, LMSW
• Matthew King
• Laura Lynn Kirkpatrick, MS PT
• Jeffrey J Kirshner, M.D.
• Olga D Kligerman, DO
• Kathy Klinger, NP
• Lane Marie Knight, NP

• School Social Worker in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.