Individual provider Active NPI

Deanna M King, LCSW

  • Clinical Social Worker
  • Riverdale, MD
National Provider Identifier
1669084620
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023001081 Issued in MO
Practice address
6306 46TH Ave
Riverdale, MD 20737-1015
Phone
(913) 396-8063
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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 2023001081 MO Primary

Addresses

Primary practice location

6306 46TH Ave
Riverdale, MD 20737-1015

Mailing address

6306 46TH Ave
Riverdale, MD 20737-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231128001234 MO Practitioner - Clinical Social Worker 2163870486 Reassigns benefits to 2 organizations
I20240425001586 OK Practitioner - Clinical Social Worker 2163870486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1831 E 71St St
Tulsa, OK 74136-3922
Phone (866) 630-0966

4625 Lindell Blvd
Suite 200And300
Saint Louis, MO 63108-3725
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Neosho Hospital CurrentSince Oct 21, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 1, 2026 Accepting new patients
Meta Mental Health LLC CurrentSince Apr 17, 2024 Accepting new patients
Freeman Neosho Hospital CurrentSince Oct 21, 2023 Accepting new patients

Locations

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

218 E Central Ave
Ste A
Miami, OK 74354
Phone (918) 919-3298

1831 E 71st St
Tulsa, OK 74136
Phone (855) 632-6940

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1669084620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 46TH AVE",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 46TH AVE",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371015",
            "telephone_number": "913-396-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DEANNA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023001081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

Verify at the official NPI Registry.