Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY TABAK, LCSW
Active Sole ProprietorJERRY TABAK, LCSW is a Clinical Social Worker healthcare provider located in O FALLON, Missouri. NPI 1114276342 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · O FALLON, MO
Registration Details
- NPI Number
- 1114276342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2012 (13.929105456557 yrs)
- Last Updated
- Sep 4, 2012
- License
-
002217 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 CHURCH STSUITE 105O FALLON, MO, 633662894Browse MO providers · Browse ZIP 63366
- Phone
- 6362940015
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in O FALLON, MO
| Name | Credential | NPI |
|---|---|---|
| MS. LINDA KATHRYN HERZBERG | MSW, LCSW | 1811961329 |
| STEVEN WAYNE BUCK | LCSW | 1952348088 |
| MR. C JAMES KASPER | M.S.W. | 1790726792 |
| THERESA A ROCHE | MSW,LCSW | 1215955463 |
| MOROLINE WHITTINGTON III | MSW LCSW | 1255352720 |
| MRS. KATHRYN MARIE WORZEL | LCSW | 1518973874 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.