Kethia Dorceus Pierre

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019424 Issued in NC

Practice address

3077 N Main St Ste 201
Hope Mills, NC 28348-1735

Phone

(910) 275-5766

Fax

(866) 990-0668

NPI assigned

May 16, 2019

Sex

Female

Sole proprietor

Yes

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1245896083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 ARNOLD PALMER DR APT 1226",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111931",
            "telephone_number": "407-300-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 N MAIN ST STE 201",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481735",
            "telephone_number": "910-275-5766",
            "fax_number": "866-990-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCEUS PIERRE",
        "first_name": "KETHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Delellis, PA-C
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• Tiffany Douglas, LCSW
• Carolina Duval, M.A. LPCA
• Eunice Latanya Eaddy
• Edc Drug Stores
• Rondell Austin Edwards Jr.

• Clinical Social Worker in Hope Mills, NC
• Providers in Hope Mills, 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 9, 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.