ELLEN TANNENBAUM LCSW
NPI 1184040032
Social Worker - Clinical in Chicago, IL

Active since March 14, 2014PECOS Enrolled
721 N LA SALLE DR, CHICAGO, IL 60654(773) 551-3067(312) 236-5384 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ellen Tannenbaum Lcsw NPPES

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

ELLEN TANNENBAUM LCSW (NPI 1184040032) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.012695) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184040032
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN TANNENBAUMCredential: LCSW
Location Address721 N LA SALLE DRChicago, IL 60654-3503
Mailing Address721 N La Salle DrChicago, IL 60654-3503 · (773) 551-3067 · Fax (312) 236-5384
Fax(312) 236-5384
Sole ProprietorNo
Enumeration DateMarch 14, 2014
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
NPI 1184040032 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 IL · 149.012695
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.

721 N LA SALLE DR, Chicago, IL 60654

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ellen Tannenbaum Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60654 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 3

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

Social Worker
721 N LA SALLE DR
CHICAGO, IL 60654
Clinic/Center (Rehabilitation, Substance Use Disorder)
721 N LA SALLE DR
CHICAGO, IL 60654
Clinic/Center (Mental Health (Including Community Mental Health Center))
721 N LA SALLE DR
CHICAGO, IL 60654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184040032, enumerated as an "individual" on March 14, 2014.

The provider is located at 721 N LA SALLE DR CHICAGO, IL 60654 and the phone number is (773) 551-3067.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.