Individual provider Active NPI

Debra H King, LSCSW, TLAC

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1548329956
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3708 Issued in KS
Practice address
1739 E 23Rd St
Lawrence, KS 66046-5017
Phone
(785) 830-8238
Fax
(785) 830-8246
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3708 KS Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1004 KS

Addresses

Primary practice location

1739 E 23Rd St
Lawrence, KS 66046-5017

Mailing address

4601 Woodland Dr
Lawrence, KS 66049-4618
Phone (785) 842-2875

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

LicenseStateTypeSpecialty
1004KSMDAddiction (Substance Use Disorder) Counselor
3708KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1548329956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WOODLAND DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494618",
            "telephone_number": "785-842-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E 23RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465017",
            "telephone_number": "785-830-8238",
            "fax_number": "785-830-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DEBRA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LSCSW, TLAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3708",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "1004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.