Active NPI
Kathleen Powell King, LISW CP
- Social Worker
- Greenville, SC
National Provider Identifier
1912170010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LISW CP 9594
- Practice address
- 124 Mallard St
Greenville, SC 29601-4046 - Phone
- (864) 241-1040
- NPI assigned
- Apr 9, 2008
- 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 | LISW CP 9594 | SC | Primary |
Addresses
Primary practice location
124 Mallard St
Greenville, SC 29601-4046
Mailing address
124 Mallard St
Greenville, SC 29601-4046
Phone (864) 241-1040
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 |
|---|---|---|---|
| LISW CP 9594 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1912170010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 MALLARD ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296014046",
"telephone_number": "864-241-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MALLARD ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296014046",
"telephone_number": "864-241-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KATHLEEN",
"middle_name": "POWELL",
"credential": "LISW CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "LISW CP 9594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.