MARYLEIGH KING (LMSW) – Clinical Social Worker, NPI 1790249472

MARYLEIGH KING (LMSW) is a healthcare provider. based in Royal oak, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801098069 (MI). The NPI Number for MARYLEIGH KING (LMSW) is 1790249472

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MARYLEIGH KING (LMSW)
NPI
1790249472
Phone
(248) 561-9863
Address
1510 E LINCOLN AVE
Enumeration Date
26 January 2019
Last Update Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7343350605
Graduation Year
2015 (11 years ago)
PAC ID
5395116339
Group Practice PAC ID
6800282963
Professional Enrollment ID
I20230130001674
Address ID
MI481701290PL340XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for MARYLEIGH KING (LMSW)

  • 1510, East Lincoln Avenue, Royal Oak, Oakland County, Michigan, 48067, United States

    ROYAL OAK, MI 480673402

    Phone: (248) 561-9863

    Type: Location

  • 340 N MAIN ST STE 200

    PLYMOUTH, MI 481701250

    Phone: (734) 335-0028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230130001674IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48067)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800282963View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorNY
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerCA
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMD

Reviews

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Frequently asked questions

How is MARYLEIGH KING (LMSW) identified in CMS data?
CMS-hosted NPPES data lists MARYLEIGH KING (LMSW) with NPI 1790249472.
Can I rely on MARYLEIGH KING (LMSW) being an active provider?
As of the registry snapshot, MARYLEIGH KING (LMSW) is marked active.
What taxonomy line describes MARYLEIGH KING (LMSW)?
For research purposes, treat MARYLEIGH KING (LMSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARYLEIGH KING (LMSW) on a map?
Expect Royal Oak, Michigan as a primary anchor for MARYLEIGH KING (LMSW) unless the record lists multiple sites.
Why does MARYLEIGH KING (LMSW) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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