Kaitlin King, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KAITLIN KING, LLC.

Practice address

408 E. Dodds
Bloomington, IN 47401-4819

Phone

(812) 287-3616

NPI assigned

Jul 15, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Kiana-Marie Vaughn

Title

Credentialing Coordinator

Phone

(812) 345-3055

Specialties & licenses 1

Addresses

Other names 1

• Kaitlin King Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlin King

  • Social Worker
  • Bloomington, IN
  • NPI 1235505876
  NPD

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1942852488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E. DODDS",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014819",
            "telephone_number": "812-287-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E. DODDS",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014819",
            "telephone_number": "812-287-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLIN KING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KIANA-MARIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "812-345-3055",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaitlin King",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.