Healthcare Provider Details

I. General information

NPI: 1265985261
Provider Name (Legal Business Name): ZACKARY KING MSW, LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ZACHARY KING LMSW

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2659 PEERY AVE
KANSAS CITY MO
64127-1300
US

IV. Provider business mailing address

1555 NE RICE RD
LEES SUMMIT MO
64086-5849
US

V. Phone/Fax

Practice location:
  • Phone: 816-966-0900
  • Fax: 816-347-3000
Mailing address:
  • Phone: 816-347-3069
  • Fax: 816-347-3200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL06129200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06129200
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2024016467
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: