Jessamyn B Tabakin, LCSW
Social Worker, Clinical in South Orange, New Jersey
1114749215- Practice location
- 124 Seton Pl, South Orange, NJ 07079-2514
- Phone
- 091-761-2899
- Fax
- —
- Last updated
- October 29, 2024
Jessamyn Blakeslee Tabakin is a Social Worker, Clinical based in South Orange, NJ. Jessamyn Blakeslee Tabakin practices in South Orange, NJ and has the professional credentials of LCSW. The NPI Number for Jessamyn Blakeslee Tabakin is 1114749215 and holds a License No. 44SC06149900 (NJ). The current practice location address for Jessamyn Blakeslee Tabakin is 124 Seton Pl, South Orange, NJ 07079-2514 and can be reached out via phone at 091-761-2899.
Provider Profile Details
- NPI Number
- 1114749215
- Provider Name
- Jessamyn Blakeslee Tabakin
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 124 Seton Pl, South Orange, NJ 07079-2514
- Phone Number
- 091-761-2899
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 29, 2024
- Last Update Date
- October 29, 2024
- Certification Date
- October 29, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 Seton Pl
South Orange, NJ 07079-2514 - City
- South Orange
- State
- New Jersey
- Zip
- 07079-2514
- Phone Number
- 091-761-2899
Provider Business Mailing Address Details
- Address
- 124 Seton Pl
South Orange, NJ 07079-2514 - City
- South Orange
- State
- NJ
- Zip
- 07079-2514
- Phone Number
- 917-612-8992
License Information
- License Number
- 44SC06149900
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessamyn B Tabakin, LCSW?
The NPI number of Jessamyn B Tabakin, LCSW is 1114749215. It was assigned on October 29, 2024 and is currently active in the NPPES registry.
What is the specialty of Jessamyn B Tabakin, LCSW?
Jessamyn B Tabakin, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06149900.
Where does Jessamyn B Tabakin, LCSW practice?
The practice location is 124 Seton Pl, South Orange, NJ 07079-2514. The office can be reached at 091-761-2899 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114749215 directly on the NPPES registry website.