Tabb Clinical & Consulting Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TABB CLINICAL & CONSULTING SERVICES, LLC

Practice address

257 Fireweed LN
Ketchikan, AK 99901-9536

Phone

(907) 617-7182

NPI assigned

Dec 30, 2024

Organization subpart

No

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

Authorized official

Name

Jordan Tabb, LCSWNPI 1780010041

Title

Owner

Phone

(907) 617-7182

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Tabb, LCSW

  • Clinical Social Worker
  • Ketchikan, AK
  • NPI 1780010041
  NPD Authorized official

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1538977087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 FIREWEED LN",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999019536",
            "telephone_number": "907-617-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 FIREWEED LN",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999019536",
            "telephone_number": "907-617-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABB CLINICAL & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "TABB",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-617-7182",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Houston Sumrall
• John David Sundeen, MA
• Sundeen3 Counseling
• Ricky Dean Swearingen, OD OPTOMETRIST
• Margaret M Sweetman, P.T.
• Jordan Tabb, LCSW
• Jessica Tacker
• Judith Tacker
• Geoffrey B Taylor, D.O.
• Glenda Taylor

• Clinical Social Worker in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.