Ms. Jody Tannenbaum, LICSW
Social Worker, Clinical in Arlington, Massachusetts
1376690594- Practice location
- 94 Pleasant St Ste 22, Arlington, MA 02476-6527
- Phone
- 781-316-1771
- Fax
- —
- Last updated
- July 8, 2007
Jody Tannenbaum is a Social Worker, Clinical based in Arlington, MA. Jody Tannenbaum practices in Arlington, MA and has the professional credentials of LICSW. The NPI Number for Jody Tannenbaum is 1376690594 and holds a License No. 1016737 (MA). The current practice location address for Jody Tannenbaum is 94 Pleasant St Ste 22, Arlington, MA 02476-6527 and can be reached out via phone at 781-316-1771.
Provider Profile Details
- NPI Number
- 1376690594
- Provider Name
- Jody Tannenbaum
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 94 Pleasant St Ste 22, Arlington, MA 02476-6527
- Phone Number
- 781-316-1771
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 3, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 94 Pleasant St Ste 22
Arlington, MA 02476-6527 - City
- Arlington
- State
- Massachusetts
- Zip
- 02476-6527
- Phone Number
- 781-316-1771
Provider Business Mailing Address Details
- Address
- 94 Pleasant St Ste 22
Arlington, MA 02476-6527 - City
- Arlington
- State
- MA
- Zip
- 02476-6527
- Phone Number
- 781-316-1771
License Information
- License Number
- 1016737
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Jody Tannenbaum, LICSW?
The NPI number of Ms. Jody Tannenbaum, LICSW is 1376690594. It was assigned on January 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Jody Tannenbaum, LICSW?
Ms. Jody Tannenbaum, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1016737.
Where does Ms. Jody Tannenbaum, LICSW practice?
The practice location is 94 Pleasant St Ste 22, Arlington, MA 02476-6527. The office can be reached at 781-316-1771 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376690594 directly on the NPPES registry website.