Active NPI
Kenyetta Shardae Herd, LMSW
- Social Worker
- Sun City, AZ
National Provider Identifier
1194381228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 13000 N 103Rd Ave Ste 98
Sun City, AZ 85351-3057 - Phone
- (623) 974-3333
- Fax
- (623) 974-3390
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | AZ | Primary |
Addresses
Primary practice location
13000 N 103Rd Ave Ste 98
Sun City, AZ 85351-3057
Mailing address
13000 N 103Rd Ave Ste 98
Sun City, AZ 85351-3057
Phone (623) 974-3333
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1194381228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 N 103RD AVE STE 98",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513057",
"telephone_number": "623-974-3333",
"fax_number": "623-974-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13000 N 103RD AVE STE 98",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513057",
"telephone_number": "623-974-3333",
"fax_number": "623-974-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERD",
"first_name": "KENYETTA",
"middle_name": "SHARDAE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.