NICKOLAUS KING LCSW-C
NPI 1124758602
Social Worker - Clinical in Columbia, MD
About Nickolaus King Lcsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICKOLAUS KING LCSW-C (NPI 1124758602) is an individual clinical provider in Columbia, Maryland, licensed in Maryland (28530) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nickolaus King Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Nickolaus King reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, MD 21044
- Reassigned Medicare billing, Delaware enrollment
Edgewood, MD 21040
- Reassigned Medicare billing, Maryland enrollment
- 8 clinicians in this Medicare group
Toms River, NJ 08753
- Reassigned Medicare billing, New Jersey enrollment
- 52 clinicians in this Medicare group
Wichita, KS 67202
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Sondermind PA
- 70 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Delaware and Maryland enrollments
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nickolaus King's NPI number?
The NPI number for Nickolaus King is 1124758602. It was assigned to this individual provider in the NPPES registry on June 16, 2022.
Where is Nickolaus King located?
Nickolaus King practices at 10715 Charter Dr Ste 130, Columbia, MD 21044. The listed phone number is (410) 656-9010.
What is Nickolaus King's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Nickolaus King enrolled in Medicare?
Yes. Nickolaus King is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nickolaus King's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nickolaus King reassigns Medicare benefits to 5 organizations: Productive Psych LLC (Columbia, MD), Reclaim And Restore Healing Company (Edgewood, MD), Wagner Medical PC (Toms River, NJ), Sondermind, P.A. (Wichita, KS) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nickolaus King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nickolaus King was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nickolaus King, LCSW-C · NPI 1124758602
Clinical provider in Columbia, Maryland. Individual provider, active in the CMS NPPES registry since June 16, 2022.
## Identity
- **NPI:** 1124758602 (Entity type: Individual)
- **Enumerated:** June 16, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 28530 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 10715 CHARTER DR STE 130, Columbia, MD 21044-2892
- **Phone:** (410) 656-9010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Productive Psych LLC (NPI 1649086729, Columbia, MD); Reclaim And Restore Healing Company (NPI 1699559179, Edgewood, MD); Wagner Medical PC (NPI 1235951187, Toms River, NJ); Sondermind, P.A. (NPI 1710647581, Wichita, KS); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124758602) · Data from the CMS NPPES public registry.