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MS. KENYATTA CHARLE' BURRIS LCSWA
NPI 1699242354
Social Worker - Clinical in Asheboro, NC

Active since October 30, 2018
1207 S COX ST, ASHEBORO, NC 27203(980) 253-2700 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Oct 30, 2018 (2 updates tracked since 2018).

About Ms. Kenyatta Charle' Burris Lcswa NPPES

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

MS. KENYATTA CHARLE' BURRIS LCSWA (NPI 1699242354) is an individual clinical provider in Asheboro, North Carolina, licensed in North Carolina (P021484) and active in the NPI registry since October 2018. She maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1699242354
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KENYATTA CHARLE' BURRISCredential: LCSWA
Location Address1207 S COX STAsheboro, NC 27203-6911
Mailing Address905 Lewiston AveCharlotte, NC 28208-1913 · (980) 253-2700
Phone(980) 253-2700
Sole ProprietorNo
Enumeration DateOctober 30, 2018
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1699242354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P021484
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.
1207 S COX ST, Asheboro, NC 27203
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Secondary Practice Location 1

Location 1301 McCullough DrCharlotte, NC 28262-3310 · Phone (704) 274-3626

Other Providers at the Same Location NPPES

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

MRS. LILA ELIZABETH ELLISON LCSW
Social Worker (Clinical)
1207 S COX ST, SUITE C
ASHEBORO, NC 27203
Randolph County (336) 318-2757

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 Kenyatta Burris's NPI number?

The NPI number for Kenyatta Burris is 1699242354. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Kenyatta Burris located?

Kenyatta Burris practices at 1207 S Cox St, Asheboro, NC 27203. The listed phone number is (980) 253-2700.

What is Kenyatta Burris's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenyatta Burris was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.