Active NPI
Joseph King
- Clinical Social Worker
- Hattiesburg, MS
National Provider Identifier
1518853142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C11499
- Practice address
- 4010 Oferral St Ste 209
Hattiesburg, MS 39402-1613 - Phone
- (601) 757-3474
- NPI assigned
- Jun 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | TPSW7010 | FL | |
| Clinical Social Worker | 1041C0700X | Q5-0000353 | DE | |
| Clinical Social Worker | 1041C0700X | C11499 | MS | Primary |
Addresses
Primary practice location
4010 Oferral St Ste 209
Hattiesburg, MS 39402-1613
Mailing address
4010 Oferral St Ste 209
Hattiesburg, MS 39402-1613
Phone (601) 757-3474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Highland Colony Pkwy
Suite 5203
Ridgeland, MS 39157-2079
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q5-0000353 | DE | MD | Clinical Social Worker |
| C11499 | MS | MD | Clinical Social Worker |
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": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1518853142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 OFERRAL ST STE 209",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021613",
"telephone_number": "601-757-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 OFERRAL ST STE 209",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021613",
"telephone_number": "601-757-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-18",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "TPSW7010",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q5-0000353",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C11499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.