Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tide Pool Counseling PLLC

Organization Clinical Social Worker · NPI 1578330791

Tide Pool Counseling PLLC is a Clinical Social Worker in Raleigh, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5561 McNeely Dr Ste 101
Raleigh, NC 27612-7625
Phone: (984) 305-3141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1578330791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Madeline Bonner — Owner · (919) 667-8789
NPI enumeratedDecember 7, 2023
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address5561 McNeely Dr Ste 101, Raleigh, NC 27612-7625

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