MRS. SDHARI ANTOINETTE KING (L.C.S.W.) – Clinical Social Worker, NPI 1700165461

MRS. SDHARI ANTOINETTE KING (L.C.S.W.) is a healthcare provider. based in Highland springs, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.C.S.W.. They hold a License No. 0904007721 (VA). The NPI Number for MRS. SDHARI ANTOINETTE KING (L.C.S.W.) is 1700165461

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SDHARI ANTOINETTE KING (L.C.S.W.)
NPI
1700165461
Phone
(804) 652-7283
Address
14 S HOLLY AVE
Enumeration Date
12 August 2011
Last Update Date
12 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
4183840077
Group Practice PAC ID
4082502398
Professional Enrollment ID
I20140730000859
Address ID
VA238033279Pe20XXXSTXX406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for MRS. SDHARI ANTOINETTE KING (L.C.S.W.)

  • 14 S HOLLY AVE

    HIGHLAND SPRINGS, VA 230751344

    Phone: (804) 652-7283

    Mailing address matches the actual address.

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: 2014-07-30

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
I20140730000859IClinical Social WorkerVATBD

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 23075)

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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: 4082502398View full group profile
NameSpecialtyState
Nurse PractitionerVA
Mental Health CounselorVA
Clinical Social WorkerVA
-VA
Mental Health CounselorVA
Clinical Social WorkerVA
Mental Health CounselorVA
-VA

Reviews

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Frequently asked questions

What federal number belongs to MRS. SDHARI ANTOINETTE KING (L.C.S.W.)?
The federal identifier for MRS. SDHARI ANTOINETTE KING (L.C.S.W.) is NPI 1700165461.
Is MRS. SDHARI ANTOINETTE KING (L.C.S.W.) active in the national directory?
MRS. SDHARI ANTOINETTE KING (L.C.S.W.)'s public NPI profile is in an active state.
Does MRS. SDHARI ANTOINETTE KING (L.C.S.W.) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MRS. SDHARI ANTOINETTE KING (L.C.S.W.). Clinical services aligned with this taxonomy classification.
Where is MRS. SDHARI ANTOINETTE KING (L.C.S.W.)'s primary listing?
We display Highland Springs, Virginia because that is what the record indicates for MRS. SDHARI ANTOINETTE KING (L.C.S.W.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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