Individual provider · Type 1 NPI

Shannon Marie King, LCSWC

Clinical Social Worker · Port Orange, FL

NPI number 1902048176 Active

Practice location

6069 Spruce Point Cir
Port Orange, FL 32128-5508

Call (240) 818-9499 Map

Fax (213) 283-7741

Other practice locations

  • 5889 S Williamson Blvd Ste 1431, Port Orange, FL 32128-7499 · (240) 818-9499

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 10086 (FL)
Clinical Social Worker 1041C0700X15689 (MD)

Clinical Social Worker: 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 interpers…

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About NPI 1902048176

Shannon Marie King, LCSWC's National Provider Identifier is 1902048176, issued on Apr 2, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Orange, FL. The record was last updated on Jan 21, 2026.