Jennifer Everett King, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2453 Issued in NH

Practice address

190 Elm St
Manchester, NH 03101-2716

Phone

(603) 361-8466

NPI assigned

Mar 21, 2021

Last updated

Mar 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Juniper Holistic Mental Health, PLLC

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1528710381
  NPD Authorized official
• Home Base Collaborative Family Counseling

  dba Home Base Collaborative Family Counseling LLC

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1043566334
  NPD (past)

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1871179820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012716",
            "telephone_number": "603-361-8466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "552 S Main St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031025132",
            "country_code": "US",
            "telephone_number": "603-361-8466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "EVERETT",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kimball, ARNP
• Melissa Ann Kimball, CRSW
• Michael Kimball, LMT
• Emily Clair Kincade
• Alice King, LICSW
• Kayla Joan King
• Krystal Marie King, BS
• Lisa J. King
• Richard S King, MD
• Tiffany King, PT

• Clinical Social Worker in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; 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.