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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | NJ | Yes |
Practice location
655 Westfield AveElizabeth, NJ 07208-1325
Phone 908-352-8375 · Fax 908-352-8858
Mailing address
655 Westfield AveElizabeth, 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.
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