Susanna Joy King, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

14429 Issued in TN

Practice address

740 Tell St Ste 301
Athens, TN 37303-5169

Phone

(423) 435-3692

NPI assigned

Jul 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1578117206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373310215",
            "telephone_number": "423-435-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 TELL ST STE 301",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373035169",
            "telephone_number": "423-435-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Ocoee St N Ste 8",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373124886",
            "country_code": "US",
            "telephone_number": "423-464-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "SUSANNA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "14429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Charles Keylon, PHARMD
• Kidzcare Pediatrics, PLLC (Kidzcare Pediatrics)
• King Audiology, LLC
• Alan Earl King, PA-C.
• Jennifer Ruth King, AU.D.
• Chad Kingery, LCPC, LAC
• Melissa Suzanne Kinser, PSY PHD
• Heather Michelle Kitchens, OTR/L
• Connie B Knox
• Shirley R. Koors, MMFT, LPC-MHSP

• Social Worker in Athens, TN
• Providers in Athens, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.