Individual provider Active NPI

Kirin King, LLMSW

  • Clinical Social Worker
  • Three Rivers, MI
National Provider Identifier
1992567507
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851117764
Practice address
57239 N Main St Ste 1
Three Rivers, MI 49093-9419
Phone
(269) 350-7385
NPI assigned
Jan 29, 2024
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851117764 Primary

Addresses

Primary practice location

57239 N Main St Ste 1
Three Rivers, MI 49093-9419

Mailing address

14970 Hideaway Rd
Vandalia, MI 49095-7706
Phone (574) 606-9117

Other practice location 1

14970 Hideaway Rd
Vandalia, MI 49095-7706
Phone (574) 606-9117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emdr and Wellness Solutions CurrentSince Dec 21, 2025 Accepting new patients

Locations

57239 N Main St
Ste 1
Three Rivers, MI 49093
Phone (269) 273-0030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1992567507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14970 HIDEAWAY RD",
            "city": "VANDALIA",
            "state": "MI",
            "postal_code": "490957706",
            "telephone_number": "574-606-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57239 N MAIN ST STE 1",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939419",
            "telephone_number": "269-350-7385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14970 Hideaway Rd",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "MI",
            "postal_code": "490957706",
            "country_code": "US",
            "telephone_number": "574-606-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KIRIN",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "6851117764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.