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Jack S. Tanenbaum, LCSW

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At a glance

About Jack Tanenbaum

Jack S. Tanenbaum, LCSW is a mental health counselor based in Lodi, CA. Jack is a 1964 graduate of New York University School of Medicine. The provider's National Provider Identifier (NPI) is 1154419505.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

CA · Licensed Clinical Social WorkerCalifornia Board of Behavioral Sciences
No. 1098CurrentExpires Jan 2027Since 1969
CA · Licensed Marriage and Family TherapistCalifornia Board of Behavioral Sciences
No. 6688CurrentExpires Oct 31, 2026Since 1975
NPINational Provider Identifier
1154419505Issued 2006

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jack S. Tanenbaum?

Jack S. Tanenbaum is a mental health counselor in Lodi, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Jack S. Tanenbaum's address?

Jack S. Tanenbaum is listed at 1920 Tienda Dr Ste 101, Lodi, CA 95242. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jack S. Tanenbaum?

The number on file is (916) 662-5947. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jack S. Tanenbaum?

Jack S. Tanenbaum's National Provider Identifier is 1154419505. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jack S. Tanenbaum train?

Jack S. Tanenbaum attended New York University School of Medicine, graduating in 1964. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jack S. Tanenbaum have?

Jack S. Tanenbaum has 62 years experience. Calculated from a graduation year of 1964, reported in the CMS National Downloadable File.

CMS public data

Is Jack S. Tanenbaum's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jack S. Tanenbaum. If this is you, claiming it is free.

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Guide.md listings do not constitute medical advice or an endorsement.

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