MRS. TABITHA YVETTE DUCKWORTH LISW-SUPV
NPI 1386773638
Social Worker - Clinical in Lake City, FL

Q: What is Tabitha Duckworth's NPI number?

The NPI number for Tabitha Duckworth is 1386773638. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Tabitha Duckworth's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Tabitha Duckworth was last updated on November 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 05, 2007

619 S MARION AVE, LAKE CITY VA MEDICAL CENTER, LAKE CITY, FL 32025(386) 755-3016 Get Directions Write a Review

NPPES record last updated: November 14, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Tabitha Yvette Duckworth Lisw-supv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TABITHA YVETTE DUCKWORTH LISW-SUPV (NPI 1386773638) is an individual clinical provider in Lake City, Florida, licensed in Ohio (I0700249) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1386773638

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. TABITHA YVETTE DUCKWORTHCredential: LISW-SUPV

Location Address619 S MARION AVE, LAKE CITY VA MEDICAL CENTERLake City, FL 32025-5808

Mailing Address3661 Thousand Oaks DrOrange Park, FL 32065-4245 · (904) 566-1883

Phone(386) 755-3016

Sole ProprietorNo

Enumeration DateMarch 5, 2007

Last NPPES UpdateNovember 14, 2008

✔ NPI 1386773638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I0700249

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License S0021568 (OH)

619 S MARION AVE, Lake City, FL 32025

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHARON LYNEAR HAYES RN

Registered Nurse (Continuing Education/Staff Development)