Healthcare Provider Details

I. General information

NPI: 1386568491
Provider Name (Legal Business Name): NATALIE TIPPETT KEETON LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3633 HARDEN RD STE 100
RALEIGH NC
27607-3369
US

IV. Provider business mailing address

8170 LONESOME PINE DR
OXFORD NC
27565-9239
US

V. Phone/Fax

Practice location:
  • Phone: 919-954-4160
  • Fax:
Mailing address:
  • Phone: 919-691-1038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: