Active NPI
Deirdre Anne King, LMSW
- Social Worker
- Southfield, MI
National Provider Identifier
1689037350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801096429
- Practice address
- 17320 W 12 Mile Rd
Suite 101
Southfield, MI 48076-2100 - Phone
- (802) 671-5464
- NPI assigned
- Mar 31, 2016
- Last updated
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801096429 | MI | Primary |
Addresses
Primary practice location
17320 W 12 Mile Rd
Suite 101
Southfield, MI 48076-2100
Mailing address
815 W Marshall St
Ferndale, MI 48220-1609
Phone (313) 974-2826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1689037350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 W MARSHALL ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201609",
"telephone_number": "313-974-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17320 W 12 MILE RD",
"address_2": "SUITE 101",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762100",
"telephone_number": "802-671-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DEIRDRE",
"middle_name": "ANNE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801096429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.