Individual provider Active NPI

Pearl Ebubechukwu Bobby-Tasie, LCSW-A

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1083463400
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6 Consultant PL Ste 100B
Durham, NC 27707-3598
Phone
(919) 228-8455
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 Primary

Addresses

Primary practice location

6 Consultant PL Ste 100B
Durham, NC 27707-3598

Mailing address

6 Consultant PL Ste 100B
Durham, NC 27707-3598
Phone (919) 228-8455

Other practice location 1

123 Kingston Dr Ste 105A
Chapel Hill, NC 27514-1651
Phone (919) 709-7307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tamarasa Therapy PLLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

6 Consultant Pl
#100B
Durham, NC 27707
Phone (919) 228-8455

Organizations & group practices 1

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1083463400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CONSULTANT PL STE 100B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073598",
            "telephone_number": "919-228-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CONSULTANT PL STE 100B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073598",
            "telephone_number": "919-228-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Kingston Dr Ste 105A",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275141651",
            "country_code": "US",
            "telephone_number": "919-709-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBBY-TASIE",
        "first_name": "PEARL",
        "middle_name": "EBUBECHUKWU",
        "name_prefix": "Ms.",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.