Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shannon Marie King, LCSWC

Individual provider Clinical Social Worker · NPI 1902048176

Mrs. Shannon Marie King, LCSWC is a Clinical Social Worker in Port Orange, Florida. Qualified in 2002, 24 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Maryland.

Years since qualifying
24
Licensed in
FL, MD
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

6069 Spruce Point Cir
Port Orange, FL 32128-5508
Phone: (240) 818-9499
Fax: (213) 283-7741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW 10086 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15689 (MD)

Record details

NPI number1902048176
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWC
Sole proprietorYes
NPI enumeratedApril 2, 2009
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Orange