Jennifer King, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60366697 Issued in WA

Practice address

5900 100TH St SW Ste 17B
Lakewood, WA 98499

Phone

(253) 625-5942

Fax

(253) 314-5320

NPI assigned

Nov 8, 2017

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Connections Counseling Services NW LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Federal Way, WA
  • NPI 1275007627
  NPD Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1609389931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 100TH ST SW STE 17B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992749",
            "telephone_number": "253-625-5942",
            "fax_number": "253-314-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 100TH ST SW STE 17B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-625-5942",
            "fax_number": "253-314-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33301 1st Way S # C-140",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036252",
            "country_code": "US",
            "telephone_number": "253-431-9739",
            "fax_number": "253-314-5320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 100th St SW Ste 17B",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "98499",
            "country_code": "US",
            "telephone_number": "253-625-5942",
            "fax_number": "253-314-5320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60366697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Kinch, PHARMD
• Victoria Kindred Dixon
• Kindred Nursing Centers West, LLC
• Shannon Kindt, BA
• Amy Sue King
• Rachel King, PT, DPT, CSCS
• Andrew D Kingsley
• Erin M. Kinneen, MSPT, DMT
• Jennifer Kinney, BA
• Ziakemia Kinney

• Clinical Social Worker in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.