Cindy M King, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111243 Issued in MA

Practice address

370 Main St
West Townsend, MA 01474-1052

Phone

(978) 503-7456

Fax

(888) 418-6397

NPI assigned

Sep 25, 2005

Last updated

Mar 17, 2018By 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)

Enrolled

State licenses

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871589879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MAIN ST",
            "city": "WEST TOWNSEND",
            "state": "MA",
            "postal_code": "014741052",
            "telephone_number": "978-503-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MAIN ST",
            "city": "WEST TOWNSEND",
            "state": "MA",
            "postal_code": "014741052",
            "telephone_number": "978-503-7456",
            "fax_number": "888-418-6397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Summer St",
            "address_2": "Suite 145",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014205783",
            "country_code": "US",
            "telephone_number": "978-503-7456",
            "fax_number": "888-418-6397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CINDY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorja Eve Fahy, EDM
• Andrew Patrick Gaskins
• Katheryn Geraldo
• Michael Miskelly, DMD
• Townsend Dental Group, LLC

• Clinical Social Worker in West Townsend, MA
• Providers in West Townsend, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.