Active NPI
Keiro Yahney Branch, LCSWA
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1669115986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P017421
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| P017421 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfully at Peace | Clinical | Current | Accepting new patients |
| Solaz, LLC | Single Specialty | Current | 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.