Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB MORRIS TABACK LCSWA
NPI 1447170618
Social Worker - Clinical in Charlotte, NC

Q: What is Jacob Taback's NPI number?

The NPI number for Jacob Taback is 1447170618. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Q: What is Jacob Taback'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 Jacob Taback was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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 July 17, 2026

5007 PROVIDENCE RD STE 105, CHARLOTTE, NC 28226(704) 364-6594(704) 364-6596 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Morris Taback Lcswa NPPES

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

JACOB MORRIS TABACK LCSWA (NPI 1447170618) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P024054) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1447170618

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJACOB MORRIS TABACKCredential: LCSWA

Location Address5007 PROVIDENCE RD STE 105Charlotte, NC 28226-5907

Mailing Address4015 Craft StCharlotte, NC 28217-1651 · (704) 589-7598

Phone(704) 364-6594

Fax(704) 364-6596

Sole ProprietorNo

Enumeration DateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1447170618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · P024054

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.

5007 PROVIDENCE RD STE 105, Charlotte, NC 28226

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Other Providers at the Same Location NPPES 12

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

RICHARD O'NEALE ATKINSON IV LCSW

Social Worker (Clinical)