Mrs Shannon Marie King, LCSWC in Port Orange, FL - Medicare Clinical Social Worker Provider

Mrs Shannon Marie King, LCSWC is a medicare enrolled "Social Worker - Clinical" provider in Port Orange, Florida. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 1690 Dunlawton Ave Ste 125, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (240) 818-9499.

Mrs Shannon Marie King is licensed to practice in Florida (license number SW 10086) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902048176.

Contact Information

	Mrs Shannon Marie King, LCSWC
	1690 Dunlawton Ave Ste 125, Port Orange, FL 32127-8980
	(240) 818-9499
	(386) 310-3992

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shannon Marie King
Gender	Female
Speciality	Clinical Social Worker
Experience	22 Years
Location	1690 Dunlawton Ave Ste 125, Port Orange, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shannon Marie King graduated from medical school in 2002

NPI Data:

NPI Number: 1902048176
Provider Enumeration Date: 04/02/2009
Last Update Date: 04/02/2018

Medicare PECOS Information:

PECOS PAC ID: 3072665256
Enrollment ID: I20120405000108

Medical Identifiers

Medical identifiers for Mrs Shannon Marie King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902048176	NPI	-	NPPES
Z04FN	Other	FL	FLORIDA BLUE
023156600	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	15689 (Maryland)	Secondary
1041C0700X	Social Worker - Clinical	SW 10086 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shannon Marie King allows following entities to bill medicare on her behalf.

Entity Name	Spruce Creek Mental Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669710273 PECOS PAC ID: 6507166006 Enrollment ID: O20151207001342

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Marie King is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shannon Marie King, LCSWC 6112 Palmas Dr, Port Orange, FL 32127-6751 Ph: (240) 818-9499	Mrs Shannon Marie King, LCSWC 1690 Dunlawton Ave Ste 125, Port Orange, FL 32127-8980 Ph: (240) 818-9499

Reviews and Comments

Social Worker in Port Orange, FL

Lisa Packard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 906 Wingate Trl, Port Orange, FL 32128 Phone: 989-262-9905
Mrs. Liana Noelle Menendez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4770 S Ridgewood Ave, Port Orange, FL 32127 Phone: 386-259-8071 Fax: 386-204-8712
Sue Levy, PSYD LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3959 S Nova Road, Bldg B Suite 23, Port Orange, FL 32127 Phone: 386-253-8439 Fax: 386-253-8579
Mr. Michael William Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 Winding Ridge Ln, Port Orange, FL 32128 Phone: 386-304-3705
Mr. Lane Edward Jennings Jr., LCSW, MCAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5765 Pendlebury Ct, Port Orange, FL 32127 Phone: 386-852-6281
Vanessa Hill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129 Phone: 386-333-9717
Scarlett Beckett, RCSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129 Phone: 386-333-9717

Mrs Shannon Marie King, LCSWC - Medicare Clinical Social Worker in Port Orange, FL