Active NPI
Keisha D Ward
- Social Worker
- Raleigh, NC
National Provider Identifier
1609710052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P016179
- Practice address
- 107 Sunnybrook Rd
Raleigh, NC 27610-1827 - Phone
- (919) 975-5396
- Fax
- (919) 975-5397
- NPI assigned
- Apr 16, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | P016179 | NC | Primary |
Addresses
Primary practice location
107 Sunnybrook Rd
Raleigh, NC 27610-1827
Mailing address
11361 N 99TH Ave Ste 402
Peoria, AZ 85345-5459
Phone (602) 650-1212
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
| License | State | Type | Specialty |
|---|---|---|---|
| P016179 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1609710052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11361 N 99TH AVE STE 402",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853455459",
"telephone_number": "602-650-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101827",
"telephone_number": "919-975-5396",
"fax_number": "919-975-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KEISHA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-16",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P016179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.