NPPES file of Aug 9, 2026

Jerry Tabak, LCSW

Clinical Social Worker · O Fallon, MO

Jerry Tabak, LCSW is a clinical social worker with a practice address in O Fallon, Missouri, and NPI 1114276342, issued on Sep 4, 2012. Check the license (Missouri 002217, as entered in NPPES) with the Missouri board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114276342
Name
Jerry Tabak
Credential
LCSW
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
002217 MO
Self-reported in NPPES; status is on the state search
Practice location
109 Church St, O Fallon, MO 63366
Phone
(636) 294-0015
Enumerated
Sep 4, 2012
Record last updated
Sep 4, 2012 (not updated in 14 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 109 Church St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sue EllisonCounselor1710237607
  2. Logan North, D.C.Chiropractor1013424357
  3. Mark Stuckey, D.C.Chiropractor1386692234

Verify Jerry Tabak in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 002217
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

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Jerry Tabak among 5,398 clinical social worker records in Missouri

Jerry Tabak, LCSW is one of 5,398 clinical social worker records with a practice address in Missouri. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2012, is newer than 40% of them.

  • NPI issued2012 · 40% of these records are older, 57% newer
  • In a Medicare fileNo · 11% of these records are
  • In the CMS Doctors and Clinicians fileNo · 18% of these records are
  • Record last updated2012 · 53% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

40 clinical social worker records list a practice address in O Fallon

They are 40 of the 1,225 NPPES records with a practice address in O Fallon, and 5,398 clinical social worker records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical social worker records with the nearest ZIP codes

  1. Debra Bianchi, LCSWO Fallon, MO 633661205281516
  2. Steven Buck, LCSWO Fallon, MO 633661952348088
  3. Elizabeth Eaton, MSW, LCSWO Fallon, MO 633661194881870
  4. Joy Gillespie, MSW, LCSWO Fallon, MO 633661457761645
  5. David Grant, LCSWO Fallon, MO 633661639622152
  6. Mark Gronski, LPCO Fallon, MO 633661841565363
  7. Linda Herzberg, MSW, LCSWO Fallon, MO 633661811961329
  8. Katie Ingebretson, MSW, LCSWO Fallon, MO 633661366725277

Common questions

What is Jerry Tabak, LCSW's NPI number?

Jerry Tabak, LCSW's National Provider Identifier (NPI) is 1114276342, issued on Sep 4, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Jerry Tabak, LCSW located?

The NPPES record lists a practice address at 109 Church St, O Fallon, MO, 63366. Phone: (636) 294-0015. Providers update this record themselves, so call before visiting.

How can I verify Jerry Tabak, LCSW's license?

NPPES lists Missouri license number 002217, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.