Provider Demographics
NPI:1447853932
Name:KING, KARA E (MSW,LCSW)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:E
Last Name:KING
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:E
Other - Last Name:DREXEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW,LSW
Mailing Address - Street 1:13 SANDY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2826
Mailing Address - Country:US
Mailing Address - Phone:201-739-5875
Mailing Address - Fax:
Practice Address - Street 1:13 SANDY HILL RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2826
Practice Address - Country:US
Practice Address - Phone:201-739-5875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC059495001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty