Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Michael Tackett, LSW

Individual provider Social Worker · NPI 1326702572

Brandon Michael Tackett, LSW is a Social Worker in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
Specialties on file
4
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

865 S Patterson Blvd
Dayton, OH 45402-2624
Phone: (937) 966-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.2411331 (OH)
Behavior Technician Taxonomy 106S00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1326702572
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedOctober 25, 2021
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

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