Kiaya Alise Branch, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022681 Issued in NC

Practice address

3664 Genesis LN
Wake Forest, NC 27587-6088

Phone

(919) 443-5697

NPI assigned

Sep 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mind & Mane LLC

  • Community/Behavioral Health Agency
  • Wake Forest, NC
  • NPI 1578298774
  NPD (past)

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1104798172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 GENESIS LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876088",
            "telephone_number": "919-443-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 GENESIS LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876088",
            "telephone_number": "919-443-5697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Market St",
            "address_purpose": "LOCATION",
            "city": "Louisburg",
            "state": "NC",
            "postal_code": "275492523",
            "country_code": "US",
            "telephone_number": "919-443-5697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "KIAYA",
        "middle_name": "ALISE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robley Kivette Bowman II, MA LPA
• Lydia Elaine Boyd Campbell, MD, MPH
• Stephanie Boykin
• Heather Braddock Acevedo, M.D.
• Suzanne Marie Brady, LCSW
• Barbara A Brandes, MD
• Lisa Braswell
• Breathe Therapy Services
• Brian T. Pressley and Associates, D.D.S, P.a
• Jordan Brichford, PT

• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.