Active NPI
Mickie Calame King, LCSW LCDC
- Clinical Social Worker
- Round Rock, TX
National Provider Identifier
1841435435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06205
- Practice address
- 9 Scenic Ter
Round Rock, TX 78664-9635 - Phone
- (512) 255-3966
- NPI assigned
- Dec 10, 2008
- Last updated
- Dec 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1280 | TX | |
| Clinical Social Worker | 1041C0700X | 06205 | TX | Primary |
Addresses
Primary practice location
9 Scenic Ter
Round Rock, TX 78664-9635
Mailing address
9 Scenic Ter
Round Rock, TX 78664-9635
Phone (512) 255-3966
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1280 | TX | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1841435435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SCENIC TER",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786649635",
"telephone_number": "512-255-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SCENIC TER",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786649635",
"telephone_number": "512-255-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MICKIE",
"middle_name": "CALAME",
"name_prefix": "Ms.",
"credential": "LCSW LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "1280",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "06205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.