Heather Montford King, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11083 Issued in FL

Practice address

20311 Central Ave W
Blountstown, FL 32424-1947

Phone

(850) 674-8888

Fax

(850) 237-1223

NPI assigned

Nov 30, 2012

Last updated

Oct 6, 2022By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Panhandle Therapy Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blountstown, FL
  • NPI 1457981888

  Clinical

  Medicare reassignment NPD Authorized official
• Panhandle Therapy Center LLC

  • Clinical Medical Laboratory
  • Blountstown, FL
  • NPI 1386454726
  Authorized official Same address or phone
• Panhandle Therapy Center LLC

  • Case Management Agency
  • Blountstown, FL
  • NPI 1740915974
  Authorized official Same address or phone
• Florida Therapy Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Panama City, FL
  • NPI 1972548022

  Case Management

  NPD (past)
• Florida Therapy Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pensacola, FL
  • NPI 1407427800
  NPD (past)

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1992040034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21063 NE VANLIEROP RD",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324244533",
            "telephone_number": "850-447-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 CENTRAL AVE W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241947",
            "telephone_number": "850-674-8888",
            "fax_number": "850-237-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "HEATHER",
        "middle_name": "MONTFORD",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "CBHCM.0102795-P",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100896",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100362600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Martin Hornsby, M.D.
• Sharee Alisha Hudson
• Amy Kleinrichert Hurt, MS CCC-SLP
• Integras Therapy & Wellness Centers Inc
• Alexandra Kimbrel, PHARM.D.
• Robert Kolman
• Stephanie R Land
• Larae Christine Lauray
• Layne & Barth Family Dentistry, PA
• Brad Spencer Layne, DDS

• Clinical Social Worker in Blountstown, FL
• Providers in Blountstown, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.