MS. CAROLYN J. KING (NPI# 1164673034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164673034 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN J. KING |
| Credential | LCSW-C |
| Practice Address |
200 Booth St. Upper Bay Counseling Elkton MD 21921 |
| Mailing Address |
1275b W Pulaski Hwy Elkton MD 21921-4719 |
| Practice Telephone | 4109965104 |
| Practice Fax Number | 4109965725 |
| Mailing Telephone | 4106207161 |
| Mailing Fax Number | 4106207168 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Q1-0000429 | DE | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
09890 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 922801200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427593532 | Carolyn King | Home Health Aide | 4269 6th St Se, Washington, DC 20032-3613 | 2016-12-28 |
| 1710330675 | Carolyn Ann King | Speech-Language Pathologist | 928 Edgewater Cir, Chapel Hill, NC 27516-4498 | 2016-07-15 |
| 1871749101 | Carolyn Jan King | Dietitian, Registered | 11092 Dove Dr, Madison, AL 35756-4300 | 2008-08-18 |
| 1841484052 | Carolyn E King | Physical Therapist | 4155 Lomac St, Suite D, Montgomery, AL 36106-2864 | 2007-08-30 |
| 1508498254 | Carolyn Killens King | Speech-Language Pathologist | 3711 Martin Luther King Jr Dr, Lumberton, NC 28358-8840 | 2020-02-11 |
| 1326552795 | Carolyn King | Case Manager/Care Coordinator | 3225 Independence Rd, Canon City, CO 81212-9380 | 2017-11-21 |
| 1205275021 | Carolyn Ann King | Speech-Language Pathologist | 1104 Beville Rd, Suite J, Daytona Beach, FL 32114-5797 | 2013-06-15 |
| 1669747556 | Carolyn Patricia King | Occupational Therapist | 9433 Bee Cave Rd, B3, Suite 101, Austin, TX 78733-6135 | 2012-03-12 |
| 1477785392 | Carolyn Lundy King | Nurse Practitioner | 12301 Grapefield Rd, Bastian, VA 24314-4547 | 2009-08-11 |
| 1083783344 | Carolyn Maria King | Psychiatry & Neurology | 2060 East Paris Ave Se, Suite 200, Grand Rapids, MI 49546 | 2006-11-08 |
| Street Address |
200 BOOTH ST. UPPER BAY COUNSELING |
| City | ELKTON |
| State | MD |
| Zip Code | 21921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861541625 | Michael T. Ritchie | Counselor | 200 Booth St., Elkton, MD 21921 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602481 | Slothsperity, LLC | Social Worker | 91 Bradley Run Rd, Elkton, MD 21921-3810 | 2019-07-29 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1215302716 | Rebecca Sutton Larson | Social Worker | 111 W High St Ste 204, Elkton, MD 21921-8611 | 2015-12-09 |
| 1003097999 | Stacy Erin Doney | Social Worker | 26 Chesters Way, Elkton, MD 21921-4506 | 2007-11-19 |
| 1306867346 | Gabrielle Manske | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2006-07-23 |
| 1275566572 | Nancy Rafert | Social Worker | 215 North St Ste D, Elkton, MD 21921-5505 | 2006-07-09 |
| 1457977910 | Holly Louise Hite | Social Worker | 1275b W Pulaski Hwy, Elkton, MD 21921-4719 | 2020-06-21 |
| 1023665577 | Frances Horzempa | Social Worker | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2019-08-20 |
| 1316405921 | Courtney Ann Macdowell | Social Worker | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2019-03-04 |
| Find all providers in ELKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.