Elijah Harold Bader, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C019493 Issued in NC

Practice address

8406 Six Forks Rd Ste 204
Raleigh, NC 27615-3074

Phone

(919) 617-9656

Fax

(919) 561-6883

NPI assigned

Jan 30, 2023

Last updated

Oct 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindly Group, PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1306196944

  Clinical

  Medicare reassignment NPD
• A New Life Services Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1679882393
  NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1770299117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 BRENTWOOD RD",
            "address_2": "PO BOX 40021",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043385",
            "telephone_number": "919-964-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153074",
            "telephone_number": "919-617-9656",
            "fax_number": "919-561-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "ELIJAH",
        "middle_name": "HAROLD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Rosario Bachara, D.D.S
• Chelsea Bachman, M.ED
• Back in Motion Family Chiropractic Center
• Back to Center Counseling, LLC
• Anna Beth Baden, M.ED., BCBC, LBA
• Lauren Badey
• Don Ward Badger, LCSW
• Ilene Badger
• Latonya Ann Badger, LPCA
• Asma J Badwan, RPH

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.