Elizabeth Nicole Tannenbaum
Clinical Social Worker
197 E Broadway
New York
, New York 10002-5507
Elizabeth Nicole Tannenbaum
Clinical Social Worker
197 E Broadway
New York
, New York 10002-5507
(646) 602-9369
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Elizabeth Nicole Tannenbaum
- 353 Smith St Apt 2
- Brooklyn, NY
- Zip : 11231-4605
- Fax : (646) 602-9369
- Phone : (917) 679-8005
Second Address
- Elizabeth Nicole Tannenbaum
- 197 E Broadway
- New York, NY
- Zip : 10002-5507
- Fax : (646) 602-9369
- Phone : (212) 533-3570
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 072906-1 | NY |
National Provider Identifier
| NPI | 1003067315 |
|---|---|
| Provider Name | Elizabeth Nicole Tannenbaum |
| First Address | Brooklyn, NY 11231-4605 |
| Second Address | New York, NY 10002-5507 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00245221 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.