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.
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)
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)