Individual provider · Type 1 NPI

Kenisha Tedra King

Social Worker · Massapequa, NY

NPI number 1083582720 Active

Practice location

23 Soloff Rd
Massapequa, NY 11758-3738

Call (813) 765-8552 Map

Mailing address

8810 178th St Apt 6P
Jamaica, NY 11432-4623

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X127134 (NY)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1083582720

Kenisha Tedra King's National Provider Identifier is 1083582720, issued on Oct 24, 2025. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Massapequa, NY. The record was last updated on Oct 30, 2025.