Individual provider Active NPI

Karly King

  • Clinical Social Worker
  • Somers Point, NJ
National Provider Identifier
1619419918
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05776800 Issued in NJ
Practice address
419 Bethel Rd Ste a
Somers Point, NJ 08244-2189
Phone
(609) 788-4698
Fax
(609) 904-5208
NPI assigned
Nov 17, 2016
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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 44SC05776800 NJ Primary

Addresses

Primary practice location

419 Bethel Rd Ste a
Somers Point, NJ 08244-2189

Mailing address

109 Cape May Ave
Estell Manor, NJ 08319-1743
Phone (361) 960-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170304000092 NJ Practitioner - Clinical Social Worker 0143504498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hello Wellness Counseling Services LLCGroup PAC ID 3476970906, 3 clinicians

Practice addresses (Care Compare)

419 Bethel Rd
Suite a
Somers Point, NJ 08244-2189
Phone (609) 788-4698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05776800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Light Wellness Services Clinical CurrentSince Mar 19, 2023 Accepting new patients

Locations

419 Bethel Rd
Ste A
Somers Point, NJ 08244
Phone (609) 788-4698

Organizations & group practices 2

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1619419918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CAPE MAY AVE",
            "city": "ESTELL MANOR",
            "state": "NJ",
            "postal_code": "083191743",
            "telephone_number": "361-960-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 BETHEL RD STE A",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442189",
            "telephone_number": "609-788-4698",
            "fax_number": "609-904-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05776800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.