Active NPI
Audrey Helen Keeton, MSW, LCSW
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1679907851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009723
- Practice address
- 3205 Randall Parkway
Ste 128
Wilmington, NC 28403 - Phone
- (910) 427-1845
- Fax
- (910) 782-4284
- NPI assigned
- Aug 24, 2013
- Last updated
- Mar 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P008308 | NC | |
| Clinical Social Worker | 1041C0700X | C009723 | NC | Primary |
Addresses
Primary practice location
3205 Randall Parkway
Ste 128
Wilmington, NC 28403
Mailing address
4244 Pine Hollow Dr.
Wilmington, NC 28412
Phone (330) 618-8544
Other practice location 1
408 Cobblestone Dr
Wilmington, NC 28405-3591
Phone (330) 618-8544
Other practice location 2
408 Cobblestone Dr
Wilmington, NC 28405
Phone (330) 618-8544
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 |
|---|---|---|---|
| C009723 | NC | MD | Clinical Social Worker |
| P008308 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1679907851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4244 PINE HOLLOW DR.",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28412",
"telephone_number": "330-618-8544",
"fax_number": "910-202-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 RANDALL PARKWAY",
"address_2": "STE 128",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-427-1845",
"fax_number": "910-782-4284"
}
],
"practiceLocations": [
{
"address_1": "408 Cobblestone Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284053591",
"country_code": "US",
"telephone_number": "330-618-8544",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "408 Cobblestone Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "28405",
"country_code": "US",
"telephone_number": "330-618-8544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEETON",
"first_name": "AUDREY",
"middle_name": "HELEN",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-24",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008308",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.