Individual provider Active NPI

Kiara Leann Canty, LCSW-A

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1043049588
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020335 Issued in NC
Practice address
260 W Main Ave Ste a
Gastonia, NC 28052-4166
Phone
(704) 498-8898
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P020335 NC Primary

Addresses

Primary practice location

260 W Main Ave Ste a
Gastonia, NC 28052-4166

Mailing address

2031 Village View Cir Apt 204
Belmont, NC 28012-3369
Phone (757) 719-8663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P020335NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Safe Place Empowerment Network Clinical CurrentSince Feb 23, 2025 Accepting new patients

Locations

260 W Main Ave
Ste A
Gastonia, NC 28052
Phone (704) 498-8898

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1043049588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 VILLAGE VIEW CIR APT 204",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123369",
            "telephone_number": "757-719-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W MAIN AVE STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524166",
            "telephone_number": "704-498-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTY",
        "first_name": "KIARA",
        "middle_name": "LEANN",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.