Individual provider · Type 1 NPI

Tandra Wade, LCSW

Clinical Social Worker · Greensboro, NC

NPI number 1891451175 Active

Practice location

1515 W Cornwallis Dr Ste 207
Greensboro, NC 27408-6334

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Clinical Social Worker Primary	1041C0700X	C020454 (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 1891451175

Tandra Wade, LCSW's National Provider Identifier is 1891451175, issued on Nov 11, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greensboro, NC. The record was last updated on Oct 6, 2026.