Individual provider Active NPI

Tanya Rachelle Dunlap

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1316447022
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149028764 Issued in IL
Practice address
201 McCullough Dr Ste 380
Charlotte, NC 28262-1370
Phone
(704) 910-3260
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149028764 IL Primary
Mental Health Counselor 101YM0800X P023212 NC

Addresses

Primary practice location

201 McCullough Dr Ste 380
Charlotte, NC 28262-1370

Mailing address

10320 Mallard Creek Rd
Ste 240
Charlotte, NC 28262-5208
Phone (704) 526-9706

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P015671NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health Management Single Specialty Current Accepting new patients

Locations

10320 Mallard Creek Rd
Ste 240
Charlotte, NC 28262
Phone (704) 886-8703

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": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1316447022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 MALLARD CREEK RD",
            "address_2": "STE 240",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625208",
            "telephone_number": "704-526-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MCCULLOUGH DR STE 380",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621370",
            "telephone_number": "704-910-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "TANYA",
        "middle_name": "RACHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028764",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P023212",
            "primary": false
        }
    ],
    "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 1, 2026; 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.