Ernest Henry King Jr.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3793 Green Rd
Beachwood, OH 44122-5705

Phone

(216) 232-5302

Fax

(216) 393-3690

NPI assigned

Jun 27, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1710722095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225705",
            "telephone_number": "216-232-5302",
            "fax_number": "216-393-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3793 GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225705",
            "telephone_number": "216-232-5302",
            "fax_number": "216-393-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ERNEST",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King David Post Acute Nursing & Rehabilitation LLC (King David Adult Day Care)
• Alaysia King
• Ashley King, NP-C
• Asia King
• Eric L King Sr., LPCC
• Richard M King, MD
• Salethia R. King, LISW
• Tina Louise King, LCDCIII
• Kip Smith, PHD Rehabilitation Psychology LLC
• Alison Kipp

• Social Worker in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.