MS. DEBORAH L TANNENBAUM MSW, LCSW
NPI 1124328604
Social Worker - Clinical in Saint Louis, MO

Q: What is Deborah Tannenbaum's NPI number?

The NPI number for Deborah Tannenbaum is 1124328604. It was assigned to this individual provider in the NPPES registry on October 29, 2010. The provider is also known as Ms. Deborah L Fredman.

Q: What is Deborah Tannenbaum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since October 29, 2010PECOS EnrolledAccepts Medicare Assignment

4625 LINDELL BLVD FL 2, SAINT LOUIS, MO 63108(636) 486-6356 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2020, Sep 11, 2020 (2 updates tracked since 2020).

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About Ms. Deborah L Tannenbaum Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEBORAH L TANNENBAUM MSW, LCSW (NPI 1124328604) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (004936) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1124328604

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. DEBORAH L TANNENBAUMCredential: MSW, LCSW

Location Address4625 LINDELL BLVD FL 2Saint Louis, MO 63108-3739

Mailing Address3000 Arrow Rock DrSaint Charles, MO 63303-6502 · (314) 303-2762

Phone(636) 486-6356

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 29, 2010

Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2020

✔ NPI 1124328604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 004936

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4625 LINDELL BLVD FL 2, Saint Louis, MO 63108

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Other Names 1

Former Name (1)Ms. Deborah L Fredman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Deborah L Tannenbaum Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830374065

PECOS Enrollment IDI20110503000269

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $55.65 – $169.38

Typical copayment $0.00 (range $13.91 – $42.34)

Most-billed visit code NA

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALANA ARMS LCSW

Social Worker (Clinical)