JERRY TABAK LCSW
NPI 1114276342
Social Worker - Clinical in O Fallon, MO
About Jerry Tabak Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY TABAK LCSW (NPI 1114276342) is an individual clinical provider in O Fallon, Missouri, licensed in Missouri (002217) and active in the NPI registry since September 2012.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jerry Tabak's NPI number?
The NPI number for Jerry Tabak is 1114276342. It was assigned to this individual provider in the NPPES registry on September 4, 2012.
Where is Jerry Tabak located?
Jerry Tabak practices at 109 Church St Suite 105, O Fallon, MO 63366. The listed phone number is (636) 294-0015.
What is Jerry Tabak's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Jerry Tabak was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.