Phylicia Keys, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

12339 Wake Union Church Rd Ste 111
Wake Forest, NC 27587-4512

Phone

(919) 867-0360

NPI assigned

Jul 19, 2022

Last updated

Oct 25, 2024By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harmony 360 Counseling

  • Clinical Social Worker
  • Wake Forest, NC
  • NPI 1235709692
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1770218349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E WEST MAPLE",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-241-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12339 WAKE UNION CHURCH RD STE 111",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874512",
            "telephone_number": "919-867-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "PHYLICIA",
        "name_prefix": "Dr.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Galen Kerr, PA-C
• Paulos Kesete, PHARMD
• Key Change Counseling, PLLC
• Keys to Recovery Counseling Services, PLLC
• Keys to Recovery Counseling Services, PLLC
• Mohammad Abul Kalam Khan, M.D.
• Paige Kidd-Gillis, LCSW-A
• Kidzcare Pediatrics, PC
• Casey Moore Kiefer, D.D.S.
• Abigail Rose Killinger

• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, 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 Oct 25, 2024; 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.