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NPI Code Detail

MEDICARE: DEANNA M KING LCSW

MEDICARE:   DEANNA M KING  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 Worker2023001081MO

General Provider Information

NPI Number : 1669084620
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA M KING LCSW
Provider Business Mailing Address
First Line : 6306 46TH AVE
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-1015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6306 46TH AVE
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-1015
Country : US
Telephone Number : 913-396-8063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2020
Last Update Date : 01/14/2026

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Directions to “ DEANNA M KING LCSW” Practice Location

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