Individual provider Active NPI

Kimberlee King

  • Social Worker
  • Jamestown, NY
National Provider Identifier
1679109565
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
332 E 4TH St
Jamestown, NY 14701-5502
Phone
(716) 488-1971
Fax
(716) 483-6878
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

332 E 4TH St
Jamestown, NY 14701-5502

Mailing address

2102 Spruce St
North Collins, NY 14111-2102
Phone (716) 337-3706

Other practice location 1

2102 Spruce St
North Collins, NY 14111
Phone (716) 337-3706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of the Chautauqua Region Inc CurrentSince Mar 29, 2020 Accepting new patients

Locations

332 E 4th St
Jamestown, NY 14701
Phone (716) 488-1971

Organizations & group practices 1

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679109565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 SPRUCE ST",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "141112102",
            "telephone_number": "716-337-3706",
            "fax_number": "716-337-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E 4TH ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015502",
            "telephone_number": "716-488-1971",
            "fax_number": "716-483-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2102 Spruce St",
            "address_purpose": "LOCATION",
            "city": "North Collins",
            "state": "NY",
            "postal_code": "14111",
            "country_code": "US",
            "telephone_number": "716-337-3706",
            "fax_number": "716-337-2723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KIMBERLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-09-11",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.