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

Jataime Shadale Taylor, LCSW

Individual provider Clinical Social Worker · NPI 1215628706

Jataime Shadale Taylor, LCSW is a Clinical Social Worker in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

432 Copperfield Blvd NE
Concord, NC 28025-2426
Phone: (704) 940-2877
Fax: (704) 897-8980
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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 · Licence C019825 (NC)

Record details

NPI number1215628706
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

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