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

Jan Mallory Tate, LCSW, MED, CSOTP

Individual provider Mental Health Counselor · NPI 1508375973

Jan Mallory Tate, LCSW, MED, CSOTP is a Mental Health Counselor in Mebane, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2017
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MED — Master of Education
A graduate education degree, written M.Ed.

See every abbreviation used in this directory →

Practice location Address checks out

105 E Center St Ste B-7
Mebane, NC 27302-2420
Phone: (917) 773-8283
Fax: (919) 551-8711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1415 W Nc Highway 54 Ste 121, Durham, NC 27707-5578 — (919) 401-2933
  • 105 E Center St Ste B-13, Mebane, NC 27302-2420 — (917) 773-8283

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C012511 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence C012511 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P011313 (NC)

Record details

NPI number1508375973
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , MED , CSOTP
Sole proprietorYes
NPI enumeratedSeptember 28, 2017
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

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