Individual provider Active NPI

Tiffany Sarah Straley, LCSW

  • Clinical Social Worker
  • Sanford, NC
National Provider Identifier
1063196020
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016985 Issued in NC
Practice address
607 Wicker St
Sanford, NC 27330-4151
Phone
(919) 292-2614
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C016985 NC Primary

Addresses

Primary practice location

607 Wicker St
Sanford, NC 27330-4151

Mailing address

8114 Brookgate Ter Apt 103
Raleigh, NC 27617-1837
Phone (724) 712-4176

Other practice location 1

3300 Gateway Centre Blvd # 115
Morrisville, NC 27560-9697
Phone (919) 480-1430

Other practice location 2

8362 Six Forks Rd Ste 104
Raleigh, NC 27615-5086
Phone (919) 583-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250418000864 NC Practitioner - Clinical Social Worker 2163947417 Reassigns benefits to 2 organizations
I20251017001389 OH Practitioner - Clinical Social Worker 2163947417 Reassigns benefits to 1 organization
I20260127000956 PA Practitioner - Clinical Social Worker 2163947417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Apr 2, 2025 Accepting new patients
Sondermind PC Clinical CurrentSince Sep 1, 2025 Accepting new patients
Meaningful Minds Counseling, PLLC Clinical CurrentSince Jun 18, 2023 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Nov 18, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients
Bailey'S Counseling Services, PLLC Current Accepting new patients

Locations

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

8362 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 583-7910

607 Wicker St
Sanford, NC 27330
Phone (919) 292-2614

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1063196020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 BROOKGATE TER APT 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171837",
            "telephone_number": "724-712-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304151",
            "telephone_number": "919-292-2614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gateway Centre Blvd # 115",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275609697",
            "country_code": "US",
            "telephone_number": "919-480-1430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8362 Six Forks Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276155086",
            "country_code": "US",
            "telephone_number": "919-583-7910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRALEY",
        "first_name": "TIFFANY",
        "middle_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.