Athena Lucia Tatum, LCSW, MSW, MPA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014474 Issued in NC

Practice address

1633 New Garden Rd Unit 388
Greensboro, NC 27410-2001

Phone

(850) 345-9007

NPI assigned

Feb 20, 2008

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

Other identifiers 1

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1972771285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 NEW GARDEN RD UNIT 388",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102001",
            "telephone_number": "858-503-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 NEW GARDEN RD UNIT 388",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102001",
            "telephone_number": "850-345-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "ATHENA",
        "middle_name": "LUCIA",
        "credential": "LCSW, MSW, MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014474",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768915200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Jo Moorefield Tate, A-GNP
• Lashonda Trenise Tate
• Latoya Celeste Tate
• Regina Denise Tate, RESIDENTIAL CARE
• Iymanii Tatem
• Kimberly Anne Tatum, N.P.
• Tawana W. Barrow, MD, PLLC
• Roya Tawkaliyar, DO
• Alexis Tay
• Hyacinth Taylor Taylor-Hampton, RN

• 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 Mar 23, 2026; 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.