Tyler Scott King

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW042014669 Issued in WV

Practice address

716 Lee St E Ste 201
Charleston, WV 25301-1707

Phone

(304) 807-6227

NPI assigned

Aug 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Underprivileged Children Foundation Inc.

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1467997650
  NPD (past)

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1932719093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JUNIPER LN",
            "city": "CULLODEN",
            "state": "WV",
            "postal_code": "255109192",
            "telephone_number": "304-590-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 LEE ST E STE 201",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011707",
            "telephone_number": "304-807-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "SW042014669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tking@helpwvkids.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "716 Lee St E Ste 201",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha King
• Samara Lynette King
• Samuel L. King II, D.D.S.
• Taylor King
• Tiffany Dumont King, CRNA
• Victoria King
• Emily Kingery
• Racheal J Kinney
• Wanda Kinnie
• Amanda Kinser

• Social Worker in Charleston, WV
• Providers in Charleston, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.