Active NPI
Alexis Taylor Keyes
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1588576151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P024408
- Practice address
- 6623 Ruth Ferrell CT
Charlotte, NC 28269-2855 - Phone
- (980) 293-1995
- Fax
- (980) 422-0281
- NPI assigned
- Sep 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P024408 | NC | Primary |
Addresses
Primary practice location
6623 Ruth Ferrell CT
Charlotte, NC 28269-2855
Mailing address
5038 Daybell St
Charlotte, NC 28214-3024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1588576151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5038 DAYBELL ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282143024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6623 RUTH FERRELL CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692855",
"telephone_number": "980-293-1995",
"fax_number": "980-422-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYES",
"first_name": "ALEXIS",
"middle_name": "TAYLOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P024408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.