TEDRA MARCHETTE SLADE MSW, LCSW - NPI 1851703144 - Social Worker in Charlotte, NC

Q: What is Tedra Slade's NPI number?

The NPI number for Tedra Slade is 1851703144. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Q: What is Tedra Slade's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tedra Slade was last updated on July 31, 2023. 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.

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About Tedra Marchette Slade Msw, Lcsw NPPES

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

TEDRA MARCHETTE SLADE MSW, LCSW (NPI 1851703144) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C008629) and active in the NPI registry since May 2014. She maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1851703144

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTEDRA MARCHETTE SLADECredential: MSW, LCSW

Location Address3545 WHITEHALL PARK DR STE 300Charlotte, NC 28273-4179

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 302-8850 · Fax (704) 316-8118

Phone(980) 302-8850

Fax(704) 316-8118

Sole ProprietorYes

Enumeration DateMay 21, 2014

Last NPPES UpdateJuly 31, 2023

NPPES CertifiedJuly 31, 2023

✔ NPI 1851703144 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 · C008629

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.

3545 WHITEHALL PARK DR STE 300, Charlotte, NC 28273

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Secondary Practice Location 1

Location 1612 Pasteur Dr., Suite 300Greensboro, NC 27403 · Phone (336) 294-1349

Other Providers at the Same Location NPPES 20

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

MR. ROBERT MICHAEL COX LCMHC

Counselor