Individual provider Active NPI

Keaura Ranise Neal

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1124937883
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P023318 Issued in NC
Practice address
204 Muirs Chapel Rd Ste 126
Greensboro, NC 27410-6173
Phone
(336) 638-1933
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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 P023318 NC Primary

Addresses

Primary practice location

204 Muirs Chapel Rd Ste 126
Greensboro, NC 27410-6173

Mailing address

9205 Stafford Country LN # 9205
Kernersville, NC 27284-3881
Phone (336) 995-1808

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1124937883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 STAFFORD COUNTRY LN # 9205",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843881",
            "telephone_number": "336-995-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MUIRS CHAPEL RD STE 126",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106173",
            "telephone_number": "336-638-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "KEAURA",
        "middle_name": "RANISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P023318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.