Jody Tannenbaum is a Clinical in Arlington, Massachusetts. Jody Tannenbaum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jody Tannenbaum is 1376690594. The last update date is 2007-07-08.
Jody Tannenbaum's current location address is 94 Pleasant St Ste 22, Arlington, Massachusetts. You can contact this provider via phone number 7813161771. The mailing address for Jody Tannenbaum is 94 Pleasant St Ste 22, Arlington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jody Tannenbaum |
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Address | 94 Pleasant St Ste 22, Arlington, Massachusetts |
Phone Number | 7813161771 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1376690594 |
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Provider Enumeration Date | 2007-01-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 94 Pleasant St Ste 22 |
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City | Arlington |
State | Massachusetts (MA) |
Post Code | 24766527 |
Phone Number | 7813161771 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 1016737 |
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, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P2772569 | MA | OXFORD | |
7238206 | MA | AETNA | |
P05126 | MA | BLUE CROSS | |
1894609 | MA | MBHP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jody Tannenbaum by the Centers for Medicare & Medicaid Services?
The Jody Tannenbaum has been assigned the NPI (National Provider Identifier) 1376690594 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jody Tannenbaum's facilities are situated?
The facilities of Jody Tannenbaum are physically located at the following address: 94 Pleasant St Ste 22, Arlington, MA, 24766527.
What is Jody Tannenbaum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jody Tannenbaum is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Jody Tannenbaum receive its 1376690594 assignment from the Centers for Medicare & Medicaid Services?
The Jody Tannenbaum was assigned its 1376690594 on 2007-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jody Tannenbaum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jody Tannenbaum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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