Jerry Tabak, LCSW in O Fallon, MO - Social Worker

Jerry Tabak, LCSW is a Social Worker - Clinical based in O Fallon, Missouri. Jerry Tabak is licensed to practice in Missouri (license number 002217) and his current practice location is 109 Church St, Suite 105, O Fallon, Missouri. He can be reached at his office (for appointments etc.) via phone at (636) 294-0015.

NPI number for Jerry Tabak is 1114276342 and his current mailing address is 109 Church St, Suite 105, O Fallon, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114276342.

Contact Information

	Jerry Tabak, LCSW
	109 Church St, Suite 105, O Fallon, MO 63366-2894
	(636) 294-0015
	Not Available

Healthcare Provider's Profile

Full Name	Jerry Tabak
Gender	Male
Speciality	Social Worker - Clinical
Location	109 Church St, O Fallon, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1114276342
Provider Enumeration Date: 09/04/2012
Last Update Date: 09/04/2012

Medical Identifiers

Medical identifiers for Jerry Tabak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114276342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	002217 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry Tabak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jerry Tabak, LCSW 109 Church St, Suite 105, O Fallon, MO 63366-2894 Ph: (636) 294-0015	Jerry Tabak, LCSW 109 Church St, Suite 105, O Fallon, MO 63366-2894 Ph: (636) 294-0015

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Social Worker in O Fallon, MO

Ms. Sara Ann Carter-jameson, L.C.S.W Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 103 Lincoln St, O Fallon, MO 63366 Phone: 636-443-3704
Debra Lee Johnson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 311 S Main St, Suite 100, O Fallon, MO 63366 Phone: 636-281-1990 Fax: 636-281-1995
Rebecca Taylor, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4132 Keaton Crossing Blvd Ste 204, O Fallon, MO 63368 Phone: 636-789-1231 Fax: 636-317-6002
Jennifer Frieswick, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 37 Coach Line Dr, O Fallon, MO 63368 Phone: 636-293-9296
Carrie Silver Stock, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1137 N Main St, Suite 2, O Fallon, MO 63366 Phone: 636-294-4640
Mrs. Shannon Marie Mcdermott Crandall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311 Ruth Ann Dr, O Fallon, MO 63368 Phone: 636-439-1931

Jerry Tabak, LCSW - Clinical Social Worker in O Fallon, MO