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NPI Code Detail

MEDICARE: ANNA KING MSW, LCSW

MEDICARE:   ANNA  KING  MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker60234TX
21041C0700XClinical Social Worker0904013190VA
31041C0700XClinical Social Worker09924995CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10OTHERNONE

General Provider Information

NPI Number : 1548776917
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA KING MSW, LCSW
Provider Business Mailing Address
First Line : 5649 MAKALU DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-5350
Country : US
Telephone Number : 719-244-4781
Fax Number :
Provider Business Practice Location Address
First Line : 5649 MAKALU DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-5350
Country : US
Telephone Number : 719-244-4781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2017
Last Update Date : 10/12/2022

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Directions to “ ANNA KING MSW, LCSW” Practice Location

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