Jacquelyn Franklin Tatum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

38687 Issued in TX

Practice address

2225 County Road 90
Suite 119
Pearland, TX 77584-4890

Phone

(281) 485-9280

Fax

(281) 485-9070

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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.

• Deer Oaks Geriatric Services P C

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1982801262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 COUNTY ROAD 90",
            "address_2": "SUITE 119",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844890",
            "telephone_number": "281-485-9280",
            "fax_number": "281-485-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 COUNTY ROAD 90",
            "address_2": "SUITE 119",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844890",
            "telephone_number": "281-485-9280",
            "fax_number": "281-485-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "JACQUELYN",
        "middle_name": "FRANKLIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Tang
• Nancy Yimfong Tang, NP-C, FNP, APRN
• Alexis Nicole Tarr, LCSW
• Robin Tatem
• Martha N Taterka
• Hiba S Tauheed, BCBA
• Norma Tauriac, LCSW
• Kimberly Taylor-Branch, MSN, APRN, FNP-BC
• Allison Marie Taylor, APRN, FNP-C
• Angela Nichole Taylor, LPC, MS

• Clinical Social Worker in Pearland, TX
• Providers in Pearland, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.