Tabitha Ledbetter
Clinical Social Worker
4740 N Clark St
Chicago
, Illinois 60640-4689
Tabitha Ledbetter
Clinical Social Worker
4740 N Clark St
Chicago
, Illinois 60640-4689
(773) 765-0801
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Tabitha Ledbetter
- 4740 N Clark St
- Chicago, IL
- Zip : 60640-4689
- Fax : (773) 765-0801
- Phone : (773) 769-0205
Second Address
- Tabitha Ledbetter
- 4740 N Clark St
- Chicago, IL
- Zip : 60640-4689
- Fax : (773) 765-0801
- Phone : (773) 769-0205
Reviews
FAQs
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What type of doctor is Tabitha Ledbetter
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Is Tabitha Ledbetter a sole practitioner?
Is Tabitha Ledbetter accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 149-014702 | IL |
National Provider Identifier
| NPI | 1003102401 |
|---|---|
| Provider Name | Tabitha Ledbetter |
| First Address | Chicago, IL 60640-4689 |
| Second Address | Chicago, IL 60640-4689 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2011 |
| Last Update Date | 18/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 149-014702 | LCSW (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.