Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Elijah Harold Bader, LCSW

Individual provider Clinical Social Worker · NPI 1770299117

Mr. Elijah Harold Bader, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8406 Six Forks Rd Ste 204
Raleigh, NC 27615-3074
Phone: (919) 617-9656
Fax: (919) 561-6883
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 LCSW
Sole proprietorYes
NPI enumeratedJanuary 30, 2023
Last updated in NPPESOctober 3, 2026
Certification dateOctober 3, 2026

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