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DAVIS TANNENBAUM LCSW
NPI 1912534272
Social Worker - Clinical in Lakewood, NJ

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
1771 MADISON AVE, LAKEWOOD, NJ 08701(732) 364-2144 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Davis Tannenbaum Lcsw NPPES

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

DAVIS TANNENBAUM LCSW (NPI 1912534272) is an individual clinical provider in Lakewood, New Jersey, licensed in New Jersey (44SC05903600) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912534272
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAVIS TANNENBAUMCredential: LCSW
Location Address1771 MADISON AVELakewood, NJ 08701-1242
Mailing Address958 Claire DrLakewood, NJ 08701-5517 · (718) 288-8354
Phone(732) 364-2144
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 26, 2020
NPPES CertifiedMarch 26, 2020
✔ NPI 1912534272 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 NJ · 44SC05903600
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.
1771 MADISON AVE, Lakewood, NJ 08701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Davis Tannenbaum 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 ID1557792256
PECOS Enrollment IDI20200513001822
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.

Medicare Billing Reassignment

Medicare enrollment records show Davis Tannenbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakewood Resource And Referral Center Inc
Same address
Federally Qualified Health Center (FQHC)
1771 MADISON AVE
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 clinicians in this Medicare group
NPI 1083748297 (732) 364-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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 $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 20

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

LAKEWOOD BOARD OF EDUCATION
Local Education Agency (LEA)
1771 MADISON AVE, SUITE B
LAKEWOOD, NJ 08701
Ocean County (732) 364-2400
CHERYL S. OCHS FNP
Nurse Practitioner (Family)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144
STEVEN ZELEFSKY
Dentist (General Practice)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (212) 305-6100
SHAINDEL PARNES APN
Nurse Practitioner (Psychiatric/Mental Health)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144
JOSHUA SINGER LSW
Social Worker
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144
DR. JILL I SHARON D.O.
Pediatrics
1771 MADISON AVE, CENTER FOR HEALTH EDUCATION, MEDICINE AND DENTISTRY
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144
ARLINDA DRAGA MS
Dentist (General Practice)
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-6666
DR. JANET MARILYN BYRNE M.D.
Internal Medicine
1771 MADISON AVE
LAKEWOOD, NJ 08701
Ocean County (732) 364-2144

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 Davis Tannenbaum's NPI number?

The NPI number for Davis Tannenbaum is 1912534272. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Davis Tannenbaum located?

Davis Tannenbaum practices at 1771 Madison Ave, Lakewood, NJ 08701. The listed phone number is (732) 364-2144.

What is Davis Tannenbaum's specialty?

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

Is Davis Tannenbaum enrolled in Medicare?

Yes. Davis Tannenbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Davis Tannenbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Davis Tannenbaum reassigns Medicare benefits to Lakewood Resource And Referral Center Inc (Lakewood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Davis Tannenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Davis Tannenbaum accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Davis Tannenbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Davis Tannenbaum was last updated on March 26, 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.