Individual provider Active NPI

Melissa K King, LMSW, LAC

  • Social Worker
  • Lubbock, TX
National Provider Identifier
1760776587
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
54304 Issued in TX
Practice address
6104 Avenue Q South Dr
Lubbock, TX 79412-3700
Phone
(806) 472-3400
Fax
(806) 472-3481
NPI assigned
Jun 9, 2011
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 987 MT
Social Worker 104100000X 54304 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002307 CO

Addresses

Primary practice location

6104 Avenue Q South Dr
Lubbock, TX 79412-3700

Mailing address

PO Box 402
Norwood, CO 81423-0402
Phone (970) 708-8756

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

LicenseStateTypeSpecialty
ACD.0002307COMDAddiction (Substance Use Disorder) Counselor
987MTMDAddiction (Substance Use Disorder) Counselor
54304TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1760776587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "NORWOOD",
            "state": "CO",
            "postal_code": "814230402",
            "telephone_number": "970-708-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 AVENUE Q SOUTH DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123700",
            "telephone_number": "806-472-3400",
            "fax_number": "806-472-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MELISSA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LMSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "987",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "54304",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.