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Samuel Barnard King Jr., STUDENT MSW/MPH

Social Worker, Clinical in Elizabeth, NJ. Individual provider (NPI-1).

NPI number1295418697
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1295418697
Entity type
Individual (NPI-1)
Name
Samuel Barnard King Jr.
Credential
STUDENT MSW/MPH
Sex
Male
Sole proprietor
No
Enumeration date
Aug 11, 2023
Certification date
Aug 11, 2023
Last updated
Sep 11, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical–NJYes

Practice location

655 Westfield Ave
Elizabeth, NJ 07208-1325

Phone 908-352-8375 · Fax 908-352-8858

Mailing address

655 Westfield Ave
Elizabeth, NJ 07208-1325

Phone 908-352-8375 · Fax 908-352-8858

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Elizabeth, NJ

All 105 Clinical Social Worker providers in Elizabeth · All 1,746 providers in Elizabeth

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