Kierra Renee Bennett, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

166 Token House Rd
Durham, NC 27703-9483

Phone

(832) 792-7285

NPI assigned

Apr 29, 2022

Last updated

Apr 4, 2023By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1548905037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 TOKEN HOUSE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039483",
            "telephone_number": "832-792-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 TOKEN HOUSE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039483",
            "telephone_number": "832-792-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KIERRA",
        "middle_name": "RENEE",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC SOCIAL WORK LICENSE",
            "identifier": "P017926",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric J. Benner, M.D.
• Aaron Bennett, MD
• Cheryl Lynn Bennett, PHD
• Jacqueline Bennett
• Karen Webb Bennett, PHD, RD, MSN, PMHNP
• Mikal Nasir Bennett, MD
• Stacey S Bennett, NP
• Terrell Bennett, MSW, LCSWA
• William Curtis Bennett
• Hakima Benriala

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Apr 4, 2023; 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.