Tandra Wade, MSW,LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015502 Issued in NC

Practice address

1600 E Wendover Ave Ste R
Greensboro, NC 27405-6877

Phone

(336) 509-2619

NPI assigned

Nov 11, 2021

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

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.

• Metis Counseling Group, PLLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1760969695
  NPD (past)
• Trinity Family Counseling Solutions P.L.L.C.

  • Professional Counselor
  • Greensboro, NC
  • NPI 1912488545
  NPD (past)

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1891451175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 OLD OAK RIDGE RD APT F15",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E WENDOVER AVE STE R",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056877",
            "telephone_number": "336-509-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "TANDRA",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Chevelle Waddell, LCMHCS, LCAS, CCS
• Karen Waddill
• April Donnika Wade
• Bianca Denise Wade, RN
• Deiandra Shaneyce Wade, LPCA
• Wilda Faye Wade, PH.D.,RD, LDN
• Rebeccah Nanjala Wafula
• Bethany Ruth Wagler, DNP, AGPCNP-BC
• Jaime Stephan Wagner, D.O.
• Lorena Wagner

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, 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 Jun 19, 2023; 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.