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

Jacob Morris Taback, LCSWA

Individual provider Clinical Social Worker · NPI 1447170618

Jacob Morris Taback, LCSWA is a Clinical Social Worker in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

5007 Providence Rd Ste 105
Charlotte, NC 28226-5907
Phone: (704) 364-6594
Fax: (704) 364-6596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P024054 (NC)

Record details

NPI number1447170618
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedJuly 17, 2026
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

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