Elizabeth Tabbachino, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

17339 Issued in MD

Practice address

9701 Keysville Rd
US Route 15 and Keysville Road
Emmitsburg, MD 21727-8619

Phone

(301) 447-2361

Fax

(301) 447-3715

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1851705644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 KEYSVILLE RD",
            "address_2": "US ROUTE 15 AND KEYSVILLE ROAD",
            "city": "EMMITSBURG",
            "state": "MD",
            "postal_code": "217278619",
            "telephone_number": "301-447-2361",
            "fax_number": "301-447-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 KEYSVILLE RD",
            "address_2": "US ROUTE 15 AND KEYSVILLE ROAD",
            "city": "EMMITSBURG",
            "state": "MD",
            "postal_code": "217278619",
            "telephone_number": "301-447-2361",
            "fax_number": "301-447-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBACHINO",
        "first_name": "ELIZABETH",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "17339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine Anderson Thomas, M.D.
• Theresa Walker, CCC-SLP
• Katherine Willet, RBT

• Social Worker in Emmitsburg, MD
• Providers in Emmitsburg, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.