Individual provider · Type 1 NPI

Kiaya Alise Branch, LCSWA

Clinical Social Worker · Wake Forest, NC

NPI number 1104798172 Active

Practice location

3664 Genesis Ln
Wake Forest, NC 27587-6088

Other practice locations

  • 103 Market St, Louisburg, NC 27549-2523 · (919) 443-5697

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP022681 (NC)

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…

5 other providers at this address

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About NPI 1104798172

Kiaya Alise Branch, LCSWA's National Provider Identifier is 1104798172, issued on Sep 19, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wake Forest, NC. The record was last updated on Sep 19, 2025.