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JESSICA LAUREN TANNENBAUM LCSW
NPI 1417569252
Social Worker in Commack, NY

Active since August 22, 2020PECOS Enrolled
6500 JERICHO TPKE STE 217, COMMACK, NY 11725(516) 298-5981 Get Directions Write a Review

NPPES record last updated: May 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Jessica Lauren Tannenbaum Lcsw NPPES

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

JESSICA LAUREN TANNENBAUM LCSW (NPI 1417569252) is an individual social worker in Commack, New York, licensed in New York (106511) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417569252
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJESSICA LAUREN TANNENBAUMCredential: LCSW
Location Address6500 JERICHO TPKE STE 217Commack, NY 11725-2907
Mailing Address6500 Jericho Turnpike Suite 217Commack, NY 11725 · (631) 543-8877
Phone(516) 298-5981
Sole ProprietorNo
Enumeration DateAugust 22, 2020
Last NPPES UpdateMay 7, 20232 updates tracked since enumeration
NPPES CertifiedMay 7, 2023
✔ NPI 1417569252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 106511
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
6500 JERICHO TPKE STE 217, Commack, NY 11725
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lauren 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.

Other Providers at the Same Location NPPES 4

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

ANDREA MICHELLE KELTOS LMSW
Social Worker
6500 JERICHO TPKE STE 217
COMMACK, NY 11725
Suffolk County (631) 543-8877
JACQUELINE SABATINO LMSW
Social Worker
6500 JERICHO TPKE STE 217
COMMACK, NY 11725
Suffolk County (631) 543-8877
MS. MADISON LEIGH URRARO LMSW
Social Worker
6500 JERICHO TPKE STE 217
COMMACK, NY 11725
Suffolk County (631) 543-8877
STEPHANIE ANN WARNKEN LMSW
Social Worker
6500 JERICHO TPKE STE 217
COMMACK, NY 11725
Suffolk County (631) 543-8877

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Tannenbaum's NPI number?

The NPI number for Jessica Tannenbaum is 1417569252. It was assigned to this individual provider in the NPPES registry on August 22, 2020.

Where is Jessica Tannenbaum located?

Jessica Tannenbaum practices at 6500 Jericho Tpke Ste 217, Commack, NY 11725. The listed phone number is (516) 298-5981.

What is Jessica Tannenbaum's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jessica Tannenbaum enrolled in Medicare?

Yes. Jessica Tannenbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Tannenbaum was last updated on May 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.