Rebecca Nicole King, LGSW
Individual provider Active NPI Social Worker · Baker, WV
NPI 1558765412 · NPPES record last updated Oct 21, 2014
Key facts
- NPI
- 1558765412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- BP00943932 (WV)
- Practice address
- 17978 Sr 55
Baker, WV 26801 - Phone
- (304) 897-5915
- Fax
- (304) 897-6216
- NPI assigned
- Oct 21, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170420001948 | WV | Order and Referring Only - Clinical Social Worker | 6204112535 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00943932 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E. a. Hawse Health Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00943932 | WV | Yes |
Addresses
Primary practice location
17978 Sr 55
Baker, WV 26801
Mailing address
PO Box 97
Baker, WV 26801-0097
Phone (304) 897-5915
Other providers in Baker, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.