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

MS. Mary Jane King, LCSW

Individual provider Clinical Social Worker · NPI 1679638993

MS. Mary Jane King, LCSW is a Clinical Social Worker in Norwich, Connecticut. Qualified in 2003, 23 years ago. Practices with State of Connecticut, a 267-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
23
Licensed in
CT
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

401 W Thames St Bldg 301 Southeastern Mental Health Authority
Norwich, CT 06360
Phone: (860) 859-4674
Fax: (860) 859-4790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 006226 (CT)

Record details

NPI number1679638993
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice State Of Connecticut — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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