Individual provider Active NPI

Tabre'a Laschaye Sledge, LCSW-C

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1568043859
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016695 Issued in NC
Practice address
6616 Six Forks Rd Ste 202
Raleigh, NC 27615-6524
Phone
(984) 218-4675
Fax
(919) 882-0986
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C016695 NC Primary

Addresses

Primary practice location

6616 Six Forks Rd Ste 202
Raleigh, NC 27615-6524

Mailing address

207 W Millbrook Rd Ste 210
Raleigh, NC 27609-4490
Phone (984) 218-4675

Other practice location 1

207 W Millbrook Rd Ste 210
Raleigh, NC 27609-4490
Phone (984) 218-4675

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507004472 NC Practitioner - Clinical Social Worker 1658712716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8362 Six Forks Rd
Suite 104
Raleigh, NC 27615-5086
Phone (984) 218-4675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C016695NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Haven Counseling Services Clinical CurrentSince Feb 7, 2025 Accepting new patients
Bailey'S Counseling Services, PLLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

1013 Bullard Ct
#102
Raleigh, NC 27615
Phone (919) 333-2831

1631 Midtown Pl
Ste 104125
Raleigh, NC 27609

207 W Millbrook Rd
Ste 210
Raleigh, NC 27609
Phone (919) 505-1133

8362 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 583-7910

6616 Six Forks Rd
Ste 202
Raleigh, NC 27615
Phone (984) 218-4675

Organizations & group practices 2

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1568043859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W MILLBROOK RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094490",
            "telephone_number": "984-218-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 SIX FORKS RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156524",
            "telephone_number": "984-218-4675",
            "fax_number": "919-882-0986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 W Millbrook Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276094490",
            "country_code": "US",
            "telephone_number": "984-218-4675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "TABRE'A",
        "middle_name": "LASCHAYE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.