Kishawna Denae Gary, MSW, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021534 Issued in NC

Practice address

5108 Rocky Branch Dr Apt 108
Charlotte, NC 28216-5193

Phone

(828) 817-3650

NPI assigned

Oct 29, 2024

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

Other names 1

• Kishawna Denae Gary Professional name

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1366264459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 ROCKY BRANCH DR APT 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282165193",
            "telephone_number": "828-817-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 ROCKY BRANCH DR APT 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282165193",
            "telephone_number": "828-817-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "KISHAWNA",
        "middle_name": "DENAE",
        "credential": "MSW, LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KISHAWNA",
            "last_name": "GARY",
            "middle_name": "DENAE",
            "credential": "MSW, LCSW-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Destiny Garvin
• Teal Venice Garvin, LCSW, LCAS, CCS
• Christopher Paul Garwacki, MD
• Gary D Waldman MD PA
• Joy Elaine Gary, M.D.
• Latasha G. Gary, LCMHC
• Latisha Marie Gary, BCBA
• Neva Gary, LCSW, CMSW
• Eva Claire Garza
• Lisa E. Garzoni, NP

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 30, 2025; 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.