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Jan Mallory Tate, LCSW,MED,CSOTP
Clinical Social Worker in Mebane, North Carolina
NPI 1508375973

Jan Mallory Tate is a Clinical Social Worker based in Yanceyville, NC and is specialized in Clinical. Jan Mallory Tate practices in Mebane, NC and has the professional credentials of LCSW,MED,CSOTP. The NPI Number for Jan Mallory Tate is 1508375973 and holds a License No. C012511 (North Carolina).

The current practice location address for Jan Mallory Tate is 105 E Center St Ste B-7, Mebane, NC and can be reached out via phone at 917-773-8283 and via fax at 919-551-8711.

Location: 105 E Center St Ste B-7, Mebane, NC, 27379-8008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508375973
Provider Name
Jan Mallory Tate
Credential
LCSW,MED,CSOTP
Provider Entity Type
Individual
Gender
Female
Address
105 E Center St Ste B-7, Mebane, NC, 27379-8008
Phone Number
917-773-8283
Fax Number
919-551-8711
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C012511 01 NC LCSW LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
105 E Center St Ste B-7
City
Mebane
State
North Carolina
Zip
27302-2420
Phone Number
917-773-8283
Fax Number
919-551-8711
person
Provider Business Mailing Address Details
Address
105 E Center St Ste B-7
City
Mebane
State
North Carolina
Zip
27302-2420
Phone Number
917-773-8283
Fax Number
919-551-8711
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P011313 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
C012511 (North Carolina)
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.
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