Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenya Divana Anderson, LCSW-A

Individual provider Clinical Social Worker · NPI 1679175640

Kenya Divana Anderson, LCSW-A is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
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Practice location Address checks out

210 Oakton Glen Ct
Charlotte, NC 28262-1756
Phone: (210) 883-5231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P014855 (NC)

Record details

NPI number1679175640
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A
Sole proprietorYes
NPI enumeratedNovember 13, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

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