MR. Jack S. Tanenbaum LCSW

  • NPI 1154419505
According to our database, the NPI number for MR. Jack S. Tanenbaum LCSW is 1154419505 and activated since 17 years ago. MR. Jack S. Tanenbaum LCSW is an individual provider who specializes in Mental Health, and the primary practice location is 1920 Tienda Dr, Lodi, CA 95242. You can also contact MR. Jack S. Tanenbaum LCSW via telephone number is (916) 662-5947. Provider NPI information was last updated on 10/01/2010.

Recently Active NPIs

Overview of MR. Jack S. Tanenbaum LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/11/2006
  • Last updated: 10/01/2010

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: LCS 1098
  • License State: CA

Provider Mailing Address

  • Address: 2715 W Kettleman Ln
    Ste 203-113
    Lodi, CA 95242
  • Phone: 916-662-5947
  • Fax: 209-366-1133

Provider Practice Location

  • Address: 1920 Tienda Dr
    Ste 101
    Lodi, CA 95242
  • Phone: 916-662-5947
  • Fax: 209-366-1133

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: LCS 1098
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jack S. Tanenbaum LCSW?
  • A: The npi number for MR. Jack S. Tanenbaum LCSW is 1154419505.
  • Q: What are MR. Jack S. Tanenbaum LCSW's specialties?
  • A: MR. Jack S. Tanenbaum LCSW's specialties are Mental Health and different specialities.
  • Q: What is the medical license for MR. Jack S. Tanenbaum LCSW?
  • A: The medical license number for MR. Jack S. Tanenbaum LCSW is LCS 1098 and issued in CA in USA.
  • Q: Where is MR. Jack S. Tanenbaum LCSW practice location?
  • A: MR. Jack S. Tanenbaum LCSW is practicing at 1920 Tienda Dr, Lodi, CA 95242.
  • Q: How to contact MR. Jack S. Tanenbaum LCSW?
  • A: You can contact MR. Jack S. Tanenbaum LCSW via 916-662-5947.