Abigail L Tackitt, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1952188542 Issued in TX

Practice address

5504 Wayne Ave
Lubbock, TX 79414-4137

Phone

(806) 855-3050

NPI assigned

Jan 20, 2025

Last updated

Jan 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Courtney Walraven LCSW PLLC

  • Clinical Social Worker
  • Lubbock, TX
  • NPI 1952188542
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1386455194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 GRINNELL ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161112",
            "telephone_number": "806-787-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 WAYNE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144137",
            "telephone_number": "806-855-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKITT",
        "first_name": "ABIGAIL",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "1952188542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Syn, M.D.
• Synergy Homecare of Lubbock
• Ricky D Sypert, OT
• T.R.M. Rao, M.D., P.a.
• Bailey P Tackett, PHD
• Jeff Angelo Faundo Taclob, MD
• Amber Taff
• Isaac Tafur, MD
• Whitney Layne Talbert, PT
• Andrew Phillip Talcott, MD

• Clinical Social Worker in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.