MEDICARE: KENNETH HENRY KING SOCIAL WORKER

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
1	1041C0700X	Clinical Social Worker	LC302389	DC

General Provider Information

NPI Number	:	1881587236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH HENRY KING SOCIAL WORKER

Provider Business Mailing Address
First Line	:	3804 SUITLAND RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1200
Country	:	US
Telephone Number	:	202-302-0275
Fax Number	:	202-302-0275

Provider Business Practice Location Address
First Line	:	3804 SUITLAND RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1200
Country	:	US
Telephone Number	:	202-302-0275
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	06/02/2025

Similar Medicare Providers

1720893720 — MR. CHRISTOPHER DURHAM
Practice Location Address:

1200 SUMNER RD SE
WASHINGTON, DC
20020-5953

Practice Phone: 202-489-3336
Practice Fax:

1821426784 — TRINETTA MCCLAM M.S. CCC-SLP
Practice Location Address:

1200 1ST ST NE
WASHINGTON, DC
20002-3361

Practice Phone: 202-442-5885
Practice Fax:

1467850206 — UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Location Address:

1200 WASHINGTON AVE S
MINNEAPOLIS, MN
55415-1295

Practice Phone: 612-625-4448
Practice Fax:

1932615283 — KRISTAL HINTON
Practice Location Address:

1200 N CAPITOL ST NW
WASHINGTON, DC
20002-7503

Practice Phone: 202-840-0202
Practice Fax:

1689311508 — COMMUNITY CONCIERGE CARE LLC
Practice Location Address:

1200 DELAWARE AVE SW APT 3
WASHINGTON, DC
20024-3900

Practice Phone: 202-888-6440
Practice Fax:

1801510359 — JACQUELIN VENABLE
Practice Location Address:

1200 N CAPITOL ST NW APT B208
WASHINGTON, DC
20002-7517

Practice Phone: 202-855-0340
Practice Fax:

Directions to “ KENNETH HENRY KING SOCIAL WORKER” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.