National Provider Identifier

Jennifer Michelle Tanenbaum, CLINICAL SOCIAL WORK

Jennifer Michelle Tanenbaum, CLINICAL SOCIAL WORK is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 922-2549.

NPI 1922801042Rochester, NYClinical Social Worker

Source: public NPPES record, last updated April 01, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1922801042
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
April 01, 2025
Last Updated
April 01, 2025

Practice Location

  • 490 E Ridge RD
  • Rochester, NY 14621-1229

Phone: (585) 922-2549

Specialties

  • Clinical Social Worker (1041C0700X)

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Full Record
NPI
1922801042
Entity Type
Individual
Last Name
Tanenbaum
First Name
Jennifer
Middle Name
Michelle
Credential
CLINICAL SOCIAL WORK
Mailing Street Address
490 E Ridge RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-1229
Mailing Country
US
Mailing Phone
(585) 922-2549
Practice Street Address
490 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-1229
Practice Country
US
Practice Phone
(585) 922-2549
Enumeration Date
April 01, 2025
Last Updated
April 01, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
April 01, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)