MR. TAVARES BOSTIC LCSW
NPI 1134545908
Social Worker - Clinical in Whiteville, NC

Active since March 17, 2014
102 W MAIN ST, SUITE A, WHITEVILLE, NC 28472(910) 642-7463 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tavares Bostic Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TAVARES BOSTIC LCSW (NPI 1134545908) is an individual clinical provider in Whiteville, North Carolina, licensed in North Carolina (C010090) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1134545908
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TAVARES BOSTICCredential: LCSW
Location Address102 W MAIN ST, SUITE AWhiteville, NC 28472-4012
Mailing Address201 Stroman RdMarston, NC 28363-9501 · (585) 967-8396
Sole ProprietorNo
Enumeration DateMarch 17, 2014
Last NPPES UpdateJune 23, 2016
NPI 1134545908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C010090
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
102 W MAIN ST, Whiteville, NC 28472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tavares Bostic's NPI number?

The NPI number for Tavares Bostic is 1134545908. It was assigned to this individual provider in the NPPES registry on March 17, 2014.

Where is Tavares Bostic located?

Tavares Bostic practices at 102 W Main St Suite A, Whiteville, NC 28472. The listed phone number is (910) 642-7463.

What is Tavares Bostic's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tavares Bostic was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.