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

Mr. Tavares Bostic, LCSW

Individual provider Clinical Social Worker · NPI 1134545908

Mr. Tavares Bostic, LCSW is a Clinical Social Worker in Whiteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
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

102 W Main St Ste A
Whiteville, NC 28472-4012
Phone: (910) 642-7463
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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 C010090 (NC)

Record details

NPI number1134545908
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 17, 2014
Last updated in NPPESJune 23, 2016

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