Individual provider · Type 1 NPI

Jataime Shadale Taylor, LCSW

Clinical Social Worker · Concord, NC

NPI number 1215628706 Active

Practice location

432 Copperfield Blvd NE
Concord, NC 28025-2426

Fax (704) 897-8980

Mailing address

403 Pewter Ct
Jacksonville, NC 28546-5000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC019825 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1215628706

Jataime Shadale Taylor, LCSW's National Provider Identifier is 1215628706, issued on May 16, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Concord, NC. The record was last updated on Jul 22, 2026.