Individual provider Active NPI

Tara Pawlyk, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1235700402
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018481 Issued in NC
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

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C018481 NC Primary
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
C018481NCMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Loom Counseling, PLLC Single Specialty Current Accepting new patients
Loom Counseling, PLLC Clinical Current Accepting new patients
Three Oaks Behavioral Health & Wellness PastSince Jul 1, 2021 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.

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.

Verify at the official NPI Registry.