Individual provider Active NPI

Kenya Tiffany Beckford, MSW, LCSWA

  • Clinical Social Worker
  • Matthews, NC
National Provider Identifier
1528829926
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021818 Issued in NC
Practice address
1220 Matthews Commons Dr Apt 14
Matthews, NC 28105-6145
Phone
(718) 408-0031
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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 P021818 NC Primary

Addresses

Primary practice location

1220 Matthews Commons Dr Apt 14
Matthews, NC 28105-6145

Mailing address

1220 Matthews Commons Dr
Matthews, NC 28105-6144
Phone (718) 408-0031

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

LicenseStateTypeSpecialty
P021818NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Colibri PLLC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1528829926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MATTHEWS COMMONS DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056144",
            "telephone_number": "718-408-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MATTHEWS COMMONS DR APT 14",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056145",
            "telephone_number": "718-408-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKFORD",
        "first_name": "KENYA",
        "middle_name": "TIFFANY",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.