Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tania Janei Stack, MSW, LCSW, CHC

Individual provider Clinical Social Worker · NPI 1639505621

Tania Janei Stack, MSW, LCSW, CHC is a Clinical Social Worker in Rocky Mount, North Carolina. Qualified in 2013, 13 years ago. Practices with Osh Mi Physicians Group, PC, a 157-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

300 N Grace St
Rocky Mount, NC 27804-5345
Phone: (252) 210-9856
Fax: (252) 822-5067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3416 Poole Rd Ste 120, Raleigh, NC 27610-2918 — (919) 902-7366

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C010096 (NC)

Record details

NPI number1639505621
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , CHC
Sole proprietorNo
NPI enumeratedSeptember 23, 2013
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Osh Mi Physicians Group, Pc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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