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KENYETTA HARDY LCSW
NPI 1407386907
Social Worker - Clinical in Winston Salem, NC

Active since June 15, 2017PECOS Enrolled
1647 NE ASHLEY SCHOOL CIR, WINSTON SALEM, NC 27105(336) 703-4203 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About Kenyetta Hardy Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENYETTA HARDY LCSW (NPI 1407386907) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (C012640) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407386907
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENYETTA HARDYCredential: LCSW
Location Address1647 NE ASHLEY SCHOOL CIRWinston Salem, NC 27105-5444
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-9005
Phone(336) 703-4203
Sole ProprietorYes
Enumeration DateJune 15, 2017
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1407386907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C012640✔ Licensed in NC · P011541
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1647 NE ASHLEY SCHOOL CIR, Winston Salem, NC 27105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenyetta Hardy Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenyetta Hardy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Opportunities Industrialization Center, Inc.
133 mi
Federally Qualified Health Center (FQHC)
90 GUARDIAN CT
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 45 clinicians in this Medicare group
NPI 1396103305 (252) 212-3350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY HENDERSON
Nurse Practitioner (Pediatrics)
1647 NE ASHLEY SCHOOL CIR
WINSTON SALEM, NC 27105
Forsyth County (336) 713-7188
JESSICA MOSES MSW, MDIV, LCSWA
Social Worker (Clinical)
1647 NE ASHLEY SCHOOL CIR
WINSTON SALEM, NC 27105
Forsyth County (336) 703-4205
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1647 NE ASHLEY SCHOOL CIR
WINSTON SALEM, NC 27105
Forsyth County (336) 703-4205
HOLLIE MARIE GOMEZ LCSW
Social Worker (Clinical)
1647 NE ASHLEY SCHOOL CIR
WINSTON SALEM, NC 27105
Forsyth County (336) 703-4205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyetta Hardy's NPI number?

The NPI number for Kenyetta Hardy is 1407386907. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Kenyetta Hardy located?

Kenyetta Hardy practices at 1647 NE Ashley School Cir, Winston Salem, NC 27105. The listed phone number is (336) 703-4203.

What is Kenyetta Hardy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kenyetta Hardy enrolled in Medicare?

Yes. Kenyetta Hardy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenyetta Hardy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenyetta Hardy reassigns Medicare benefits to Opportunities Industrialization Center, Inc. (Rocky Mount, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenyetta Hardy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenyetta Hardy accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Kenyetta Hardy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenyetta Hardy was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.