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JAN MALLORY TATE LCSW, MED, CSOTP
NPI 1508375973
Social Worker - Clinical in Mebane, NC

Active since September 28, 2017
105 E CENTER ST STE B-7, MEBANE, NC 27302(917) 773-8283(919) 551-8711 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2022, Oct 11, 2019 (2 updates tracked since 2019).

About Jan Mallory Tate Lcsw, Med, Csotp NPPES

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

JAN MALLORY TATE LCSW, MED, CSOTP (NPI 1508375973) is an individual clinical provider in Mebane, North Carolina, licensed in North Carolina (C012511) and active in the NPI registry since September 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508375973
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAN MALLORY TATECredential: LCSW, MED, CSOTP
Location Address105 E CENTER ST STE B-7Mebane, NC 27302-2420
Mailing Address192 Pemberton StYanceyville, NC 27379-8008 · (917) 773-8283
Phone(917) 773-8283
Fax(919) 551-8711
Sole ProprietorYes
Enumeration DateSeptember 28, 2017
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1508375973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C012511✔ Licensed in NC · P011313
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C012511 (NC)
105 E CENTER ST STE B-7, Mebane, NC 27302
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Secondary Practice Locations 2

Location 1105 E Center St Ste B-13Mebane, NC 27302-2420 · Phone (917) 773-8283
Location 21415 W Nc Highway 54 Ste 121Durham, NC 27707-5578 · Phone (919) 401-2933 · Fax (919) 401-2994

Other Identifiers 1

OtherC012511NC · Lcsw License Number

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 Jan Tate's NPI number?

The NPI number for Jan Tate is 1508375973. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Jan Tate located?

Jan Tate practices at 105 E Center St Ste B-7, Mebane, NC 27302. The listed phone number is (917) 773-8283.

What is Jan Tate'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 Jan Tate was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.