Individual provider Active NPI

Amy Fisher King, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1932498524
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3167 Issued in OR
Practice address
61635 Daly Estates Dr Apt 1
Bend, OR 97702-4203
Phone
(541) 350-2905
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L3167 OR Primary

Addresses

Primary practice location

61635 Daly Estates Dr Apt 1
Bend, OR 97702-4203

Mailing address

PO Box 8071
Bend, OR 97708-8071
Phone (541) 350-2905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130315000034 OR Practitioner - Clinical Social Worker 0648415901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

61635 Daly Estates Dr
Apt 1
Bend, OR 97702-4203
Phone (541) 350-2905

PO Box
Bend, OR 97708

PO Box
Suite 8071
Bend, OR 97708-8071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amy King LCSW LLC Clinical CurrentSince Sep 24, 2023 Accepting new patients
Bend Senior Care Management LLC Clinical PastSince Jan 1, 2021 Accepting new patients

Locations

965 SW Emkay Dr
Ste 200
Bend, OR 97702
Phone (541) 385-5203

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1932498524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8071",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977088071",
            "telephone_number": "541-350-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61635 DALY ESTATES DR APT 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977024203",
            "telephone_number": "541-350-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "AMY",
        "middle_name": "FISHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.