Provider Demographics
NPI:1487397758
Name:WORKMAN, TABITHA ABELIA (LMSW)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:ABELIA
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TABITHA
Other - Middle Name:ABELIA
Other - Last Name:ISLAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7888 FM 2657
Mailing Address - Street 2:
Mailing Address - City:KEMPNER
Mailing Address - State:TX
Mailing Address - Zip Code:76539-8081
Mailing Address - Country:US
Mailing Address - Phone:254-423-2590
Mailing Address - Fax:
Practice Address - Street 1:7888 FM 2657
Practice Address - Street 2:
Practice Address - City:KEMPNER
Practice Address - State:TX
Practice Address - Zip Code:76539-8081
Practice Address - Country:US
Practice Address - Phone:254-423-2590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1066511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical