Kyanna Nikohl McCafferty, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017538 Issued in NC

Practice address

130 N Judd Pkwy NE
Fuquay Varina, NC 27526-2367

Phone

(866) 272-7826

NPI assigned

May 8, 2024

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

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1114775871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SHELLBROOK CT APT 3",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094235",
            "telephone_number": "304-886-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N JUDD PKWY NE",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262367",
            "telephone_number": "866-272-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFERTY",
        "first_name": "KYANNA",
        "middle_name": "NIKOHL",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elianys Yoseli Mavares Rodriguez, DMD
• Andrew Richard May, O.D.
• Sydney Mayle, PHARM D
• Lauren McBean, M.S., CF-SLP
• Tarsha Medley McBride, RN
• Jkiyah Renea McClarin
• Leah C. McConkey, M.S., CCC-SLP
• Jessica G McConnell, DDS
• Bryden Sloan McCormick, D.D.S.
• Camille B McDaniel

• Clinical Social Worker in Fuquay Varina, NC
• Providers in Fuquay Varina, 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 May 8, 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.