Active NPI
Valdis Tabe, LCSW-C
- Clinical Social Worker
- Perry Point, MD
National Provider Identifier
1508536236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23790
- Practice address
- 601 Perryville Dr BLDG 80H
Perry Point, MD 21902-1111 - Phone
- (410) 642-2411
- NPI assigned
- Sep 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23790 | MD | Primary |
Addresses
Primary practice location
601 Perryville Dr BLDG 80H
Perry Point, MD 21902-1111
Mailing address
601 Perryville Dr BLDG 80H
Perry Point, MD 21902-1111
Phone (443) 897-3372
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | oasismentalhealth.net | Health Information Exchange (HIE) | |
| CONNECT URL | va.gov | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23790 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1508536236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 PERRYVILLE DR BLDG 80H",
"city": "PERRY POINT",
"state": "MD",
"postal_code": "219021111",
"telephone_number": "443-897-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 PERRYVILLE DR BLDG 80H",
"city": "PERRY POINT",
"state": "MD",
"postal_code": "219021111",
"telephone_number": "410-642-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABE",
"first_name": "VALDIS",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-14",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "23790",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "oasismentalhealth.net",
"affiliation": "N",
"endpointDescription": "secure official company email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "175 Admiral Cochrane Dr",
"city": "Annapolis",
"state": "MD",
"country_code": "US",
"postal_code": "214017316",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "va.gov",
"affiliation": "N",
"endpointDescription": "secure official company email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "601 Perryville Dr Bldg 80H",
"city": "Perry Point",
"state": "MD",
"country_code": "US",
"postal_code": "219021111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Perry Point, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.