Active NPI
Coretta Monique Kea
- Social Worker
- Lexington, SC
National Provider Identifier
1225197924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12145
- Practice address
- 521 Gibson Rd
Lexington, SC 29072-2551 - Phone
- (803) 951-3490
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 12145 | SC | Primary |
Addresses
Primary practice location
521 Gibson Rd
Lexington, SC 29072-2551
Mailing address
521 Gibson Rd
Lexington, SC 29072-2551
Phone (803) 951-3490
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12145 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1639244528 | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1225197924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 GIBSON RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722551",
"telephone_number": "803-951-3490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 GIBSON RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722551",
"telephone_number": "803-951-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEA",
"first_name": "CORETTA",
"middle_name": "MONIQUE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "12145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.