Individual provider Active NPI

Keiro Yahney Branch, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1669115986
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017421 Issued in NC
Practice address
2231 E Millbrook Rd Ste 101
Raleigh, NC 27604-1746
Phone
(919) 307-8165
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X P017421 NC Primary

Addresses

Primary practice location

2231 E Millbrook Rd Ste 101
Raleigh, NC 27604-1746

Mailing address

220 E Boulder Rd
Henderson, NC 27537-6982
Phone (984) 365-3532

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
P017421NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully at Peace Clinical CurrentSince Aug 25, 2024 Accepting new patients
Solaz, LLC Single Specialty CurrentSince Apr 17, 2022 Accepting new patients

Locations

615 Lewis St
Ste 100C
Oxford, NC 27565

2231 E Millbrook Rd
Ste 101
Raleigh, NC 27604
Phone (919) 307-8165

Organizations & group practices 2

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1669115986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E BOULDER RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275376982",
            "telephone_number": "984-365-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 E MILLBROOK RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041746",
            "telephone_number": "919-307-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "KEIRO",
        "middle_name": "YAHNEY",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017421",
            "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 18, 2022; 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.