Markeeta Imani Bryant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015125 Issued in NC

Practice address

218 W Broad St # 17
Statesville, NC 28677-5258

Phone

(704) 208-8111

NPI assigned

Jun 15, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Journey Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Statesville, NC
  • NPI 1235802125
  NPD (past)
• Victory Family Counseling

  • Clinical Social Worker
  • Concord, NC
  • NPI 1063000610
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1649848706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W BROAD ST # 17",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775258",
            "telephone_number": "704-208-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W BROAD ST # 17",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775258",
            "telephone_number": "704-208-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MARKEETA",
        "middle_name": "IMANI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Robinson Brown, NP-C
• Sage Harrison Brown
• Sue Ann Bingham Brown, MSW, LCSW, PIP
• Sharon Hollifield Bryan, MSN, CPNP
• Karen Jean Bryant, CADC, LCMHC
• Vicki Bryant, PA-C
• John Brzykcy
• Brandy Buchanan, M. ED
• Kelly Marie Buchholz, FNP-C
• Caitlin Elizabeth Buford, LCSW-A, LCAS-A

• Clinical Social Worker in Statesville, NC
• Providers in Statesville, 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 Dec 12, 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.