Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tatim Nedy Lace, LCSW-A

Individual provider Clinical Social Worker · NPI 1497426787

Tatim Nedy Lace, LCSW-A is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
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Practice location Address checks out

700 E Blvd Ste 100
Charlotte, NC 28203-4892
Phone: (980) 477-0227
Fax: (704) 980-3082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5200 Park Rd Ste 218b, Charlotte, NC 28209-3650 — (866) 700-1606

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P015109 (NC)

Record details

NPI number1497426787
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-A
Sole proprietorYes
NPI enumeratedSeptember 26, 2021
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022

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