Active NPI
Stephanie Nicole King, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1508528845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 107954-01
- Practice address
- 352 7TH Ave RM 801
New York, NY 10001-5655 - Phone
- (646) 418-1172
- NPI assigned
- Oct 13, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 107954-01 | NY | Primary |
Addresses
Primary practice location
352 7TH Ave RM 801
New York, NY 10001-5655
Mailing address
539 W 112TH St Apt 3B
New York, NY 10025-1637
Phone (856) 404-1492
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 |
|---|---|---|---|
| 107954-01 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Personal Growth & Wellness LLC | Single Specialty | 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": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1508528845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 W 112TH ST APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251637",
"telephone_number": "856-404-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 7TH AVE RM 801",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015655",
"telephone_number": "646-418-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "107954-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.