Tabitha Peppmuller, LCSW
Individual provider Active NPI Clinical Social Worker · Peotone, IL
NPI 1831775865 · NPPES record last updated Mar 21, 2021
Key facts
- NPI
- 1831775865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.020310 (IL)
- Practice address
- 434 S Third St
Peotone, IL 60468-9251 - Phone
- (630) 335-9737
- NPI assigned
- Mar 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.020310 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.020310 | IL | Yes |
Addresses
Primary practice location
434 S Third St
Peotone, IL 60468-9251
Mailing address
434 S Third St
Peotone, IL 60468-9251
Other names
- Tabitha Norldof
Other providers in Peotone, IL
- Amanda Rae Mizaur
- Walter Albert Motyka
- Paige Julia Nooner
- Arthur B. Pasquinelli
- Peotone Community Unit School District #207-U
- Candy Quinn
- Riverside Medical Center
- Kimberly Karen Roediger
- Scott R Lowry DO 2, LLC
- Madilyn Abigail Seyller
All providers in Peotone, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.