Active NPI
Nicole C King, LSW
- Clinical Social Worker
- Douglassville, PA
National Provider Identifier
1508744319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW133585
- Practice address
- 1125 Ben Franklin Hwy W
Douglassville, PA 19518-1829 - Phone
- (610) 385-3155
- NPI assigned
- Aug 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | SW133585 | PA | Primary |
Addresses
Primary practice location
1125 Ben Franklin Hwy W
Douglassville, PA 19518-1829
Mailing address
1125 Ben Franklin Hwy W
Douglassville, PA 19518-1829
Phone (610) 385-3155
Other practice location 1
2784 Egypt Rd
Audubon, PA 19403-2255
Phone (610) 385-3155
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 |
|---|---|---|---|
| SW133585 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanctuary Counseling LLC | Mental Health | 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": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1508744319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 BEN FRANKLIN HWY W",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195181829",
"telephone_number": "610-385-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 BEN FRANKLIN HWY W",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195181829",
"telephone_number": "610-385-3155"
}
],
"practiceLocations": [
{
"address_1": "2784 Egypt Rd",
"address_purpose": "LOCATION",
"city": "Audubon",
"state": "PA",
"postal_code": "194032255",
"country_code": "US",
"telephone_number": "610-385-3155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "NICOLE",
"middle_name": "C",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW133585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglassville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.