EMILY ANN TABOR (LICSW) – Clinical Social Worker, NPI 1841866373

EMILY ANN TABOR (LICSW) is a healthcare provider. based in Maple valley, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LW61114188 (WA). The NPI Number for EMILY ANN TABOR (LICSW) is 1841866373

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
EMILY ANN TABOR (LICSW)
NPI
1841866373
Phone
(206) 403-8527
Address
PO BOX 1247
Enumeration Date
3 June 2021
Last Update Date
3 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2064038527
Graduation Year
2010 (16 years ago)
PAC ID
3274938949
Professional Enrollment ID
I20210818001369
Address ID
WA980272550IS160XXBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for EMILY ANN TABOR (LICSW)

  • PO BOX 1247

    MAPLE VALLEY, WA 980381247

    Phone: (206) 403-8527

    Type: Mailing

  • 160 NW GILMAN BLVD STE 443

    ISSAQUAH, WA 980272550

    Phone: (206) 403-8527

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210818001369IClinical Social WorkerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98038)

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Reviews

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Frequently asked questions

Is EMILY ANN TABOR (LICSW) listed with a National Provider Identifier?
Yes — EMILY ANN TABOR (LICSW) has NPI 1841866373 on file in the registry.
Is there an active status for EMILY ANN TABOR (LICSW)?
For scheduling context, EMILY ANN TABOR (LICSW) is shown as active in the registry.
What kind of doctor is EMILY ANN TABOR (LICSW)?
EMILY ANN TABOR (LICSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is EMILY ANN TABOR (LICSW) associated with Maple Valley?
Public fields place EMILY ANN TABOR (LICSW) around Maple Valley, Washington. Always confirm the exact site before visiting.
Can I trust this NPI listing for EMILY ANN TABOR (LICSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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