TANISHA J GANUB
NPI 1366066441
Social Worker - Clinical in Stockton, CA

Q: What is Tanisha Ganub's NPI number?

The NPI number for Tanisha Ganub is 1366066441. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Q: What is Tanisha Ganub's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tanisha Ganub was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2020

1803 W MARCH LN STE C&D, STOCKTON, CA 95207(209) 636-5353 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tanisha J Ganub NPPES

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

TANISHA J GANUB (NPI 1366066441) is an individual clinical provider in Stockton, California and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1366066441

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTANISHA J GANUB

Location Address1803 W MARCH LN STE C&DStockton, CA 95207-6414

Mailing AddressPo Box 581014Elk Grove, CA 95758-0017 · (916) 825-2545

Phone(209) 636-5353

Sole ProprietorYes

Enumeration DateJune 3, 2020

NPPES CertifiedJune 3, 2020

✔ NPI 1366066441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

1803 W MARCH LN STE C&D, Stockton, CA 95207

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

ERICA CARLA HASKELL

Day Training/Habilitation Specialist