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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JATAIME SHADALE TAYLOR LCSW
NPI 1215628706
Social Worker - Clinical in Concord, NC

Active since May 16, 2023
432 COPPERFIELD BLVD NE, CONCORD, NC 28025(704) 940-2877(704) 897-8980 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Apr 7, 2026, May 16, 2023 (3 updates tracked since 2023).

About Jataime Shadale Taylor Lcsw NPPES

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

JATAIME SHADALE TAYLOR LCSW (NPI 1215628706) is an individual clinical provider in Concord, North Carolina, licensed in North Carolina (C019825) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1215628706
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJATAIME SHADALE TAYLORCredential: LCSW
Location Address432 COPPERFIELD BLVD NEConcord, NC 28025-2426
Mailing Address403 Pewter CtJacksonville, NC 28546-5000 · (910) 382-1697
Phone(704) 940-2877
Fax(704) 897-8980
Sole ProprietorNo
Enumeration DateMay 16, 2023
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1215628706 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 · C019825
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.
432 COPPERFIELD BLVD NE, Concord, NC 28025
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LISA BOLUMEN LPC, NCC
Counselor (Professional)
432 COPPERFIELD BLVD NE
CONCORD, NC 28025
Cabarrus County (704) 785-8282

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 Jataime Taylor's NPI number?

The NPI number for Jataime Taylor is 1215628706. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Jataime Taylor located?

Jataime Taylor practices at 432 Copperfield Blvd NE, Concord, NC 28025. The listed phone number is (704) 940-2877.

What is Jataime Taylor'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 Jataime Taylor was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.