Active NPI
David E King, LCSW-R
- Clinical Social Worker
- Katonah, NY
National Provider Identifier
1952664567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 033344
- Practice address
- 15 The Pkwy
Katonah, NY 10536-1505 - Phone
- (914) 232-8250
- NPI assigned
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 033344 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 007967 | CT |
Addresses
Primary practice location
15 The Pkwy
Katonah, NY 10536-1505
Mailing address
15 The Pkwy
Katonah, NY 10536-1505
Phone (914) 232-8250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 11, 2024 through Mar 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007967 | CT | MD | Clinical Social Worker |
| 033344 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1952664567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 THE PKWY",
"city": "KATONAH",
"state": "NY",
"postal_code": "105361505",
"telephone_number": "914-232-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 THE PKWY",
"city": "KATONAH",
"state": "NY",
"postal_code": "105361505",
"telephone_number": "914-232-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "033344",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.