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

Individual provider Clinical Social Worker · NPI 1831361427

Kathleen Marie Tise, LCSW is a Clinical Social Worker in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008
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

411 W Chapel Hill St
Durham, NC 27701-3616
Phone: (919) 419-3474
Fax: (919) 419-9353
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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 C003806 (NC)

Record details

NPI number1831361427
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 24, 2008
Last updated in NPPESJuly 1, 2009

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