Tabitha Seade

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009232 Issued in NC

Practice address

8825 University East Dr
Charlotte, NC 28213-4169

Phone

(704) 537-3650

Fax

(866) 909-5364

NPI assigned

Jul 6, 2016

Last updated

Jul 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1487006078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11934 BROWNESTONE VIEW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697175",
            "telephone_number": "615-587-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 UNIVERSITY EAST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134169",
            "telephone_number": "704-537-3650",
            "fax_number": "866-909-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEADE",
        "first_name": "TABITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000008264",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Lynn Scumaci, PHARMD
• Brooks Edwards Scurry, FNP-BC
• Rachelle Serwah Scurry
• Christina Seaborg, AUD
• Khalida D Seabury
• Kris Katherine Seagle
• Kristen Sealey, MSW, LCSW
• Vanessa Wendy Sealey
• Bethany Sealy, PT, DPT, CLT
• Trevor W Seaman

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.