Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH JOHN TANENBAUM, LCSW
Active Sole ProprietorMR. KEITH JOHN TANENBAUM, LCSW is a Clinical Social Worker healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1477169605 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1477169605
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2020 (5.7110489230752 yrs)
- Last Updated
- Oct 5, 2022
- Licenses
-
89589 (CA)107074 (CA)107974 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
924 EMERALD BAY RDFIRST FLOORSOUTH LAKE TAHOE, CA, 96150Browse CA providers · Browse ZIP 96150
- Phone
- 5307829889
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Hospice and Palliative Medicine (Psychiatry)
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS LAWRENCE HOLLOWATY | M.S.W. | 1740348259 |
| CAROLYN EDDY | MSW, LCSW | 1578698247 |
| MR. DAVID FREDERICK ZANDER | LCSW | 1447372982 |
| MS. SALLY ANN WILLIAMS | LCSW -LCS 19708 | 1336363902 |
| MRS. LINDA HARDIN BINGHAM | MSW | 1215152582 |
| ARLENE B HAYWARD | LCSW | 1780808204 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.