Individual provider · Type 1 NPI

Keisha Hinton Bryan, LCSW, LCAS

Clinical Social Worker · Knightdale, NC

NPI number 1073799227 Active

Practice location

1008 Big Oak Ct Ste F
Knightdale, NC 27545-6566

Fax (919) 261-1675

Mailing address

4905 Ravelstone Ct
Raleigh, NC 27610-2897

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073799227

Keisha Hinton Bryan, LCSW, LCAS's National Provider Identifier is 1073799227, issued on Jan 18, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Knightdale, NC. The record was last updated on Jul 1, 2013.