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

Jerry Tabak, LCSW

Individual provider Clinical Social Worker · NPI 1114276342

Jerry Tabak, LCSW is a Clinical Social Worker in O Fallon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

109 Church St Ste 105
O Fallon, MO 63366-2894
Phone: (636) 294-0015
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 002217 (MO)

Record details

NPI number1114276342
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 4, 2012
Last updated in NPPESSeptember 4, 2012
Mailing address109 Church St, Suite 105, O Fallon, MO 63366-2894

Other providers in O Fallon