Active NPI
Tara Pawlyk, MSW, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1235700402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C018481
- Practice address
- 5300 Six Forks Rd Ste 213
Raleigh, NC 27609-4465 - Phone
- (910) 668-6164
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | C018481 | NC | Primary |
| Prevention Professional | 405300000X | C018481 | NC |
Addresses
Primary practice location
5300 Six Forks Rd Ste 213
Raleigh, NC 27609-4465
Mailing address
5300 Six Forks Rd Ste 213
Raleigh, NC 27609-4465
Phone (704) 438-2068
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tara@loom-counseling.com | Direct |
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 |
|---|---|---|---|
| C018481 | NC | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loom Counseling, PLLC | Single Specialty | Current | Accepting new patients |
| Loom Counseling, PLLC | Clinical | Current | Accepting new patients |
| Three Oaks Behavioral Health & Wellness | Past | Accepting new patients |
Locations
4441 Six Forks Rd
Raleigh, NC 27609
Phone (919) 534-1393
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1184501744
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1528563194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1235700402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 SIX FORKS RD STE 213",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094465",
"telephone_number": "704-438-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 SIX FORKS RD STE 213",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094465",
"telephone_number": "910-668-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLYK",
"first_name": "TARA",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C018481",
"primary": true
},
{
"code": "405300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": "NC",
"license": "C018481",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tara@loom-counseling.com",
"affiliation": "N",
"endpointDescription": "Encrypted Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4441 Six Forks Rd",
"address_2": "PMB 268",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "27609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.