Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Keon Devonte Breeden, LCSWA

Individual provider Clinical Social Worker · NPI 1790412765

Mr. Keon Devonte Breeden, LCSWA 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
2022

Practice location Address checks out

933 Louise Ave Ste 10117
Charlotte, NC 28204-0053
Phone: (704) 226-2282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P016842 (NC)

Record details

NPI number1790412765
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

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