Whalio Doctors

NPI 1003102401

Tabitha Ledbetter, LCSW

Practitioner Clinical Social Worker Evanston, IL

Practice location

Address
355 Ridge Ave Fl 2, Evanston, IL 60202-3328
Phone
(847) 316-6262
Fax
(847) 316-2214

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 149-014702 (IL)

Registry record

NPI
1003102401
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Jun 2011
Record last updated
11 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.