Provider Demographics
NPI:1528829926
Name:BECKFORD, KENYA TIFFANY (MSW, LCSWA)
Entity type:Individual
Prefix:MS
First Name:KENYA
Middle Name:TIFFANY
Last Name:BECKFORD
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 MATTHEWS COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-6144
Mailing Address - Country:US
Mailing Address - Phone:718-408-0031
Mailing Address - Fax:
Practice Address - Street 1:1220 MATTHEWS COMMONS DR APT 14
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-6145
Practice Address - Country:US
Practice Address - Phone:718-408-0031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0218181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical