Active NPI
Mark Anthony King, MSW, LGSW
- Social Worker
- Fairmont, WV
National Provider Identifier
1982278073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00944913
- Practice address
- 207 Fairmont Ave
Fairmont, WV 26554-2710 - Phone
- (681) 404-6869
- NPI assigned
- May 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00944913 | WV | Primary |
Addresses
Primary practice location
207 Fairmont Ave
Fairmont, WV 26554-2710
Mailing address
612 Protzman St Apt 201
Morgantown, WV 26505-7519
Phone (304) 322-0267
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00944913 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Counseling Center LLC | Social Worker | Current | Accepting new patients |
| Wallflower Connection Therapy Services PLLC | Social Worker | Current | Accepting new patients |
Locations
207 Fairmont Ave
Fairmont, WV 26554
Phone (681) 404-6869
Organizations & group practices 2
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.
-
- Social Worker
- Morgantown, WV
- NPI 1215735980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1982278073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 PROTZMAN ST APT 201",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265057519",
"telephone_number": "304-322-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542710",
"telephone_number": "681-404-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MARK",
"middle_name": "ANTHONY",
"credential": "MSW, LGSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00944913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.