Ernesta Sharnita Tabb-D'Angelo, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014092 Issued in NC

Practice address

1764 Heritage Center Dr Ste 202
Wake Forest, NC 27587-4092

Phone

(984) 235-7596

Fax

(984) 235-7054

NPI assigned

Oct 15, 2020

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

Practice roles

Locations

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.

• The Counseling Collective, PLLC

  • Mental Health Counselor
  • Wake Forest, NC
  • NPI 1851863609
  NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1669070264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 HERITAGE CENTER DR STE 204",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874092",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 HERITAGE CENTER DR STE 202",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874092",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1764 Heritage Center Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275874092",
            "country_code": "US",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABB-D'ANGELO",
        "first_name": "ERNESTA",
        "middle_name": "SHARNITA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P014092",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry P Swindler, DC
• Bridget E Swope, DDS
• Synergy4 Youth NC PLLC
• Synergy4Youth NC PLLC
• Laura Szabo
• Sara N Tabrizi, M.D.
• Allinah Tahir, DMD
• Karlin Haskins Talerico, CRNA, FNP-C
• Talk Time Speech Therapy
• Grace Tang, MD

• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, 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 Oct 15, 2020; 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.