MR. KEON DEVONTE BREEDEN LCSWA
NPI 1790412765
Social Worker - Clinical in Charlotte, NC

Active since August 01, 2022
933 LOUISE AVE STE 10117, CHARLOTTE, NC 28204(704) 226-2282 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Keon Devonte Breeden Lcswa NPPES

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

MR. KEON DEVONTE BREEDEN LCSWA (NPI 1790412765) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P016842) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1790412765
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEON DEVONTE BREEDENCredential: LCSWA
Location Address933 LOUISE AVE STE 10117Charlotte, NC 28204-0053
Mailing Address2021 Morton St Apt 223Charlotte, NC 28208-5340 · (704) 386-8651
Sole ProprietorYes
Enumeration DateAugust 1, 2022
NPPES CertifiedAugust 1, 2022
NPI 1790412765 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 · P016842
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.
933 LOUISE AVE STE 10117, Charlotte, NC 28204

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
933 LOUISE AVE STE 10117
CHARLOTTE, NC 28204
Counselor (Professional)
933 LOUISE AVE STE 10117
CHARLOTTE, NC 28204

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 Keon Breeden's NPI number?

The NPI number for Keon Breeden is 1790412765. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Keon Breeden located?

Keon Breeden practices at 933 Louise Ave Ste 10117, Charlotte, NC 28204. The listed phone number is (704) 226-2282.

What is Keon Breeden's specialty?

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

What insurance does Keon Breeden accept?

Health plans from Blue Cross and Blue Shield of NC list Keon Breeden 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 Keon Breeden was last updated on August 1, 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.