SHELLEY MARIE KING (LISW) – Social Worker, NPI 1619356821

SHELLEY MARIE KING (LISW) is a healthcare provider. based in Akron, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. 1601218 (OH). The NPI Number for SHELLEY MARIE KING (LISW) is 1619356821

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHELLEY MARIE KING (LISW)
NPI
1619356821
Phone
(330) 762-5425
Address
274 WHITE POND DR
Enumeration Date
20 May 2015
Last Update Date
10 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307625425
Graduation Year
2016 (10 years ago)
PAC ID
8921471095
Group Practice PAC ID
6709771843
Professional Enrollment ID
I20230310001972
Address ID
OH443031413AK640XXSTXX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:11State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for SHELLEY MARIE KING (LISW)

  • 274 WHITE POND DR

    AKRON, OH 443201118

    Phone: (330) 762-5425

    Type: Mailing

  • 2285 Benden Dr

    Wooster, OH 446912568

    Phone: (330) 264-9029

    Type: Location

  • 2285 BENDEN DR

    WOOSTER, OH 446912568

    Phone: (330) 264-9029

    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: 2023-03-10

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
I20230310001972IClinical Social WorkerOHTBD

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 44320)

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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: 6709771843View full group profile
NameSpecialtyState
Clinical Social WorkerOH
-OH
Physical Therapist In Private PracticeOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH
Clinical Social WorkerOH
Gastroenterology, Internal MedicineOH
Clinical PsychologistOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What is SHELLEY MARIE KING (LISW)'s NPI number?
SHELLEY MARIE KING (LISW)'s NPI is 1619356821 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to SHELLEY MARIE KING (LISW)?
You should see SHELLEY MARIE KING (LISW) as active in CMS-hosted NPPES data.
What kind of doctor is SHELLEY MARIE KING (LISW)?
SHELLEY MARIE KING (LISW) is associated with Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is SHELLEY MARIE KING (LISW) associated with Akron?
Public fields place SHELLEY MARIE KING (LISW) around Akron, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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