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

MS. Breonna Delois Lane, LCSW

Individual provider Clinical Social Worker · NPI 1477189546

MS. Breonna Delois Lane, LCSW is a Clinical Social Worker in Knightdale, North Carolina. Qualified in 2018, 8 years ago. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1634 Plexor Ln
Knightdale, NC 27545-7285
Phone: (910) 315-9479
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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 C015558 (NC)

Record details

NPI number1477189546
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 20, 2020
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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