Active NPI
Tatyana Gevon Lance, MSW, LMSW,LCSWA
- Social Worker
- Charlotte, NC
National Provider Identifier
1215788328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 16731
- Practice address
- 1905 J N Pease PL Ste 103
Charlotte, NC 28262-4509 - Phone
- (704) 910-0136
- NPI assigned
- Mar 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P022900 | NC | |
| Social Worker | 104100000X | 16731 | SC | Primary |
Addresses
Primary practice location
1905 J N Pease PL Ste 103
Charlotte, NC 28262-4509
Mailing address
2411 N Oak St Ste 301L
Myrtle Beach, SC 29577-3165
Phone (843) 687-5438
Other practice location 1
2411 N Oak St Ste 301L
Myrtle Beach, SC 29577-3165
Phone (843) 687-5438
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16731 | SC | MD | Social Worker |
| P022900 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1215788328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 N OAK ST STE 301L",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295773165",
"telephone_number": "843-687-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 J N PEASE PL STE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624509",
"telephone_number": "704-910-0136"
}
],
"practiceLocations": [
{
"address_1": "2411 N Oak St Ste 301L",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295773165",
"country_code": "US",
"telephone_number": "843-687-5438",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANCE",
"first_name": "TATYANA",
"middle_name": "GEVON",
"name_prefix": "Mrs.",
"credential": "MSW, LMSW,LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-27",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P022900",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "16731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.