Individual provider · Type 1 NPI
Jan Mallory Tate, LCSW, MED, CSOTP
Clinical Social Worker · Mebane, NC
Practice location
105 E Center St Ste B-7
Mebane, NC 27302-2420
Fax (919) 551-8711
Mailing address
192 Pemberton St
Yanceyville, NC 27379-8008
Other practice locations
- 105 E Center St Ste B-13, Mebane, NC 27302-2420 · (917) 773-8283
- 1415 W Nc Highway 54 Ste 121, Durham, NC 27707-5578 · (919) 401-2933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | C012511 (NC) |
| Clinical Social Worker | 1041C0700X | P011313 (NC) |
| Clinical Social Worker Primary | 1041C0700X | C012511 (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 1508375973
Jan Mallory Tate, LCSW, MED, CSOTP's National Provider Identifier is 1508375973, issued on Sep 28, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mebane, NC. The record was last updated on Oct 18, 2022.