Celina Raye Andersen King, LCSW
Individual provider Active NPI Clinical Social Worker · Marion, TX
NPI 1972176808 · NPPES record last updated Dec 15, 2023
Key facts
- NPI
- 1972176808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 55935 (TX)
- Practice address
- 388 Stallion LN
Marion, TX 78124-3014 - Phone
- (830) 914-5011
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Evaluation Assoc., Inc. | Clinical | Current |
Accepting new patients |
| Family Evaluation Assoc., Inc. | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 55935 | TX | Yes |
Addresses
Primary practice location
388 Stallion LN
Marion, TX 78124-3014
Mailing address
PO Box 686
Marion, TX 78124-0686
Phone (830) 914-5011
Other providers in Marion, TX
- Elena P Alltop
- Haley Bents
- Brigade Physical Therapy and Wellness PLLC
- Elvira Jennie Cadena
- Country Home Assisted Living
- Bryant Cruz
All providers in Marion, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.