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

Mr. Elijah Harold Bader, LCSWA

Individual provider Clinical Social Worker · NPI 1770299117

Mr. Elijah Harold Bader, LCSWA is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2022, 4 years ago. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

312 W Millbrook Rd Ste 129
Raleigh, NC 27609-4398
Phone: (919) 877-6101
Fax: (919) 876-4953
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P018170 (NC)

Record details

NPI number1770299117
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Raleigh