Jordan Tabb, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113550 Issued in AK

Practice address

721 Stedman St
Ketchikan, AK 99901-6632

Phone

(907) 225-7825

Fax

(907) 225-1541

NPI assigned

Sep 18, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Tabb Clinical & Consulting Services, LLC

  • Clinical Social Worker
  • Ketchikan, AK
  • NPI 1538977087
  NPD Authorized official

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780010041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 STEDMAN ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016632",
            "telephone_number": "907-225-7825",
            "fax_number": "907-225-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 STEDMAN ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016632",
            "telephone_number": "907-225-7825",
            "fax_number": "907-225-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABB",
        "first_name": "JORDAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-33260",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "113550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Sundeen, MA
• Sundeen3 Counseling
• Ricky Dean Swearingen, OD OPTOMETRIST
• Margaret M Sweetman, P.T.
• Tabb Clinical & Consulting Services, LLC
• Jessica Tacker
• Judith Tacker
• Geoffrey B Taylor, D.O.
• Glenda Taylor
• Jeannette Taylor, PHARMD

• 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 Jul 21, 2022; 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.