Individual provider Active NPI

Julie Anne King, LISW

  • Clinical Social Worker
  • North Liberty, IA
National Provider Identifier
1548889918
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06742 Issued in IA
Practice address
1460 Doe Run Dr
North Liberty, IA 52317-9699
Phone
(319) 849-4468
NPI assigned
Apr 15, 2020
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06742 IA Primary

Addresses

Primary practice location

1460 Doe Run Dr
North Liberty, IA 52317-9699

Mailing address

1460 Doe Run Dr
North Liberty, IA 52317-9699
Phone (319) 210-0222

Other practice location 1

373 Collins Rd NE Ste 203
Cedar Rapids, IA 52402-3167
Phone (319) 849-4468

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
06742IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
King Therapy Services, LLC Clinical CurrentSince Apr 26, 2020 Accepting new patients

Locations

373 Collins Rd NE
Ste 203
Cedar Rapids, IA 52402
Phone (319) 210-0222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1548889918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 DOE RUN DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179699",
            "telephone_number": "319-210-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 DOE RUN DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179699",
            "telephone_number": "319-849-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 Collins Rd NE Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524023167",
            "country_code": "US",
            "telephone_number": "319-849-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.