Celina Raye Andersen King, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55935 Issued in TX

Practice address

388 Stallion LN
Marion, TX 78124-3014

Phone

(830) 914-5011

NPI assigned

Jul 19, 2021

Last updated

Dec 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Evaluation Assoc., Inc.

  • Clinical Social Worker
  • Marion, TX
  • NPI 1235995150
  NPD Authorized official
• Family Evaluation Assoc., Inc.

  • Clinical Social Worker
  • Marion, TX
  • NPI 1265175905
  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1972176808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "MARION",
            "state": "TX",
            "postal_code": "781240686",
            "telephone_number": "830-914-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 STALLION LN",
            "city": "MARION",
            "state": "TX",
            "postal_code": "781243014",
            "telephone_number": "830-914-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN KING",
        "first_name": "CELINA",
        "middle_name": "RAYE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena P Alltop
• Haley Bents, RN
• Brigade Physical Therapy and Wellness PLLC
• Elvira Jennie Cadena
• Country Home Assisted Living
• Bryant Cruz

• Clinical Social Worker in Marion, TX
• Providers in Marion, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.