JAMIE L KING LICSW, LLC
NPI 1518778646
Clinic/Center - Mental Health (Including Community Mental Health Center) in Andover, MA

Active since January 17, 2025
89 N MAIN ST # 206, ANDOVER, MA 01810(978) 409-7974 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jamie L King Licsw, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE L KING LICSW, LLC (NPI 1518778646) is a healthcare organization registered as a mental health (including community mental health center) in Andover, Massachusetts and active in the NPI registry since January 2025. The organization lists Jamie L King, Owner, as its authorized official.

NPPES Registry Identity

NPI1518778646
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJAMIE L KING LICSW, LLC
Location Address89 N MAIN ST # 206Andover, MA 01810-6503
Mailing Address89 N Main St # 206Andover, MA 01810-6503 · (978) 409-7974
Organization SubpartNo
Authorized OfficialJamie L KingOwner · (978) 409-7974
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1518778646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
89 N MAIN ST # 206, Andover, MA 01810

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie L King Licsw, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jamie L King Licsw, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1013347798
12 METHUEN ST
Lawrence, MA 01840
(978) 587-1998
✔ PECOS✔ Accepts Medicare3.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jamie L King Licsw, LLC's NPI number?

The NPI number for Jamie L King Licsw, LLC is 1518778646. It was assigned to this organization in the NPPES registry on January 17, 2025.

Where is Jamie L King Licsw, LLC located?

Jamie L King Licsw, LLC is located at 89 N Main St # 206, Andover, MA 01810. The listed phone number is (978) 409-7974.

What is Jamie L King Licsw, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Jamie L King Licsw, LLC enrolled in Medicare?

Yes. Jamie L King Licsw, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jamie L King Licsw, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jamie L King Licsw, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jamie L King Licsw, LLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.