Active NPI
Kadejha King, SOCIAL WORKER
- Social Worker
- Dublin, OH
National Provider Identifier
1730641911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2208252
- Practice address
- 4995 Bradenton Ave Ste 130
Dublin, OH 43017-3551 - Phone
- (614) 580-6917
- NPI assigned
- Apr 4, 2019
- 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 | S.2208252 | OH | Primary |
Addresses
Primary practice location
4995 Bradenton Ave Ste 130
Dublin, OH 43017-3551
Mailing address
5982 Rhodes Rd
Kent, OH 44240-8100
Phone (330) 673-1347
Other practice location 1
6455 Post Rd # B
Dublin, OH 43016-1225
Phone (614) 376-1430
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2208252 | OH | MD | Social Worker |
Interoperability endpoints
- kadejha.kimble.1@28621.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1730641911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5982 RHODES RD",
"city": "KENT",
"state": "OH",
"postal_code": "442408100",
"telephone_number": "330-673-1347",
"fax_number": "330-678-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4995 BRADENTON AVE STE 130",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173551",
"telephone_number": "614-580-6917"
}
],
"practiceLocations": [
{
"address_1": "6455 Post Rd # B",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430161225",
"country_code": "US",
"telephone_number": "614-376-1430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "KADEJHA",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2208252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.