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

Individual provider Clinical Social Worker · NPI 1114749215

Jessamyn Blakeslee Tabakin, LCSW is a Clinical Social Worker in South Orange, New Jersey. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

124 Seton Pl
South Orange, NJ 07079-2514
Phone: (091) 761-2899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 Baker St, Maplewood, NJ 07040-2531 — (917) 612-8992

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC06149900 (NJ)

Record details

NPI number1114749215
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

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