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MRS. SHANNON MARIE KING LCSWC
NPI 1902048176
Social Worker - Clinical in Port Orange, FL

Active since April 02, 2009PECOS Enrolled
6069 SPRUCE POINT CIR, PORT ORANGE, FL 32128(240) 818-9499(213) 283-7741 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Apr 2, 2025, Sep 28, 2015 (3 updates tracked since 2015).

About Mrs. Shannon Marie King Lcswc NPPES

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

MRS. SHANNON MARIE KING LCSWC (NPI 1902048176) is an individual clinical provider in Port Orange, Florida, licensed in Florida (SW 10086) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Port Orange.

NPPES Registry Identity

NPI1902048176
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHANNON MARIE KINGCredential: LCSWC
Location Address6069 SPRUCE POINT CIRPort Orange, FL 32128-5508
Mailing Address6069 Spruce Point CirPort Orange, FL 32128-5508 · (240) 818-9499
Phone(240) 818-9499
Fax(213) 283-7741
Sole ProprietorYes
Enumeration DateApril 2, 2009
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1902048176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in FL · SW 10086✔ Licensed in MD · 15689
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6069 SPRUCE POINT CIR, Port Orange, FL 32128
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Other Names 1

Other Name (5)Shannon King Shannon King-desantis Lcsw

Secondary Practice Location 1

Location 15889 S Williamson Blvd Ste 1431Port Orange, FL 32128-7499 · Phone (240) 818-9499 · Fax (213) 283-7741

Other Identifiers 2

Medicaid023156600FL
OtherZ04FNFL · Florida Blue

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon Marie King Lcswc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPRUCE CREEK COUNSELING, LLC
Community/Behavioral Health
6069 SPRUCE POINT CIR
PORT ORANGE, FL 32128
Volusia County (240) 818-9499

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 Shannon King's NPI number?

The NPI number for Shannon King is 1902048176. It was assigned to this individual provider in the NPPES registry on April 2, 2009. The provider is also known as Shannon King Shannon King-Desantis Lcsw.

Where is Shannon King located?

Shannon King practices at 6069 Spruce Point Cir, Port Orange, FL 32128. The listed phone number is (240) 818-9499.

What is Shannon King's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon King enrolled in Medicare?

Yes. Shannon King is registered in the Medicare PECOS enrollment system.

What insurance does Shannon King accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Shannon King as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon King was last updated on January 21, 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.