TEDRA SLADE (NPI# 1851703144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851703144 |
| Entity Type | Individual |
| Full Name | TEDRA SLADE |
| Credential | MSW, LCSW |
| Practice Address |
612 Pasteur Dr. Suite 300 Greensboro NC 27403 |
| Practice Telephone | 3362941349 |
| Mailing Telephone | 3362941349 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C008629 | NC | Behavioral Health & Social Service Providers |
| Street Address |
612 PASTEUR DR. SUITE 300 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| 1619246717 | Occumed Walk In & Urgent Care, Pllc | Internal Medicine | 530 N. Elam Avenue, Suite C, Greensboro, NC 27403 | 2011-12-19 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877929 | Midge Spong | Social Worker | 1603 Regents Park Ln, Greensboro, NC 27455-0807 | 2020-10-08 |
| 1336755370 | Imari Jacoya Brower | Social Worker | 16 Summertree Ln Apt G, Greensboro, NC 27406-5635 | 2020-09-16 |
| 1447864947 | Kelsey Walker | Social Worker | 5 Oak Branch Dr Ste G, Greensboro, NC 27407-2157 | 2020-09-02 |
| 1225640469 | Madario Lampkins | Social Worker | 2311 W Cone Blvd Ste 223, Greensboro, NC 27408-4067 | 2020-08-19 |
| 1427669266 | Esmeralda Mendez | Social Worker | 16 Oak Branch Dr Ste A, Greensboro, NC 27407-2119 | 2020-08-14 |
| 1720605686 | Sheilagh Harrington | Social Worker | 308 Pomona Dr Ste Ab, Greensboro, NC 27407-1665 | 2020-06-26 |
| 1588289862 | Life Transitions Counseling, LLC | Social Worker | 1140 Westchester, Greensboro, GA 30642-3495 | 2020-06-11 |
| 1134758998 | Kirstin Cassell | Social Worker | 3403 Kenmore St, Greensboro, NC 27408-2907 | 2020-04-03 |
| 1609402866 | Susan Porter | Social Worker | 509 N Elam Ave Ste 3e, Greensboro, NC 27403-1129 | 2020-03-19 |
| 1851922454 | Chelsea Nicole Miller | Social Worker | 5509 W Friendly Ave Ste 104b, Greensboro, NC 27410-4211 | 2020-02-01 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.