TANIA JANEI STACK (NPI# 1639505621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639505621 |
| Entity Type | Individual |
| Full Name | TANIA JANEI STACK |
| Other Name | TANIA JANEI MOON |
| Credential | MSW, LCSW, CHC |
| Practice Address |
300 N Grace St Rocky Mount NC 27804-5345 |
| Mailing Address |
6305 Arsenal Ave Raleigh NC 27610-6780 |
| Practice Telephone | 2522109856 |
| Practice Fax Number | 2528225067 |
| Mailing Telephone | 9192199747 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C010096 | NC | Behavioral Health & Social Service Providers |
| Street Address |
300 N GRACE ST |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316957319 | Rita-kay Mabine Davis | Psychiatry & Neurology | 300 N Grace St, Rocky Mount, NC 27804-5345 | 2006-08-09 |
| 1194375691 | Amanpreet Dhaliwal | Physician Assistant | 300 N Grace St, Rocky Mount, NC 27804-5345 | 2019-09-17 |
| 1154987725 | Emily Maye Knight | Physician Assistant | 300 N Grace St, Rocky Mount, NC 27804-5345 | 2019-05-19 |
| 1902394067 | Theodora Desronvil | Registered Nurse | 300 N Grace St, Rocky Mount, NC 27804-5345 | 2018-04-24 |
| 1700247970 | Pharmblue North Carolina LLC | Pharmacy | 300 N Grace St, Suite 150, Rocky Mount, NC 27804-5345 | 2016-03-15 |
| 1962898296 | Opportunities Industrialization Center, Inc | Clinic/Center | 300 N Grace St, Suite 200, Rocky Mount, NC 27804-5345 | 2015-04-14 |
| 1790193787 | Charmaine Walker | Dentist | 300 N Grace St, Suite 200, Rocky Mount, NC 27804-5345 | 2014-07-23 |
| 1215349154 | Nana Fosuwa Arkhurst-arthur | Nurse Practitioner | 300 N Grace St, Rocky Mount, NC 27804-5345 | 2014-05-27 |
| 1528478237 | Opportunities Industrialization Center, Inc | Clinic/Center | 300 N Grace St, Rocky Mount, NC 27804-5345 | 2014-05-02 |
| 1528360450 | Gregory William Walter | Social Worker | 300 N Grace St, Rocky Mount, NC 27804 | 2010-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478821 | Chantel Staton | Social Worker | 2747 Sunset Ave # 109, Rocky Mount, NC 27804-3751 | 2020-02-12 |
| 1326518549 | Yvette Richardson | Social Worker | 1325 Fairway Ter, Rocky Mount, NC 27804-9621 | 2018-11-30 |
| 1780163881 | Ann Barnhart Minnix | Social Worker | 290 S Main St Fl 2, Rocky Mount, VA 24151-1709 | 2018-08-09 |
| 1942626445 | Katrina Gail Porter | Social Worker | 107 Se Main St Ste 203, Rocky Mount, NC 27801-5400 | 2014-03-10 |
| 1689096869 | Amy Pridgen Hamlett | Social Worker | 112 N Circle Dr Ste D, Rocky Mount, NC 27804-2429 | 2014-01-07 |
| 1104255041 | Tiffany Bazemore | Social Worker | 224 Browning Ln, Rocky Mount, NC 27804-9079 | 2013-11-01 |
| 1396095402 | Linda Ann Sanders | Social Worker | 112 Hearthstone Ct, Rocky Mount, NC 27803-1196 | 2012-09-17 |
| 1679821821 | Kelli Marie Byrd | Social Worker | 112 N Circle Dr Ste E, Rocky Mount, NC 27804-2429 | 2012-08-20 |
| 1811201999 | Laysha Taylor Williams | Social Worker | 876 Country Club Rd, Rocky Mount, NC 27804-1707 | 2010-08-02 |
| 1174853170 | Leigh Herring Daughtridge | Social Worker | 809 Tiffany Boulevard, Rocky Mount, NC 27804 | 2010-01-13 |
| Find all providers in ROCKY MOUNT | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.