Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Davis Tannenbaum, LCSW

Individual provider Clinical Social Worker · NPI 1912534272

Davis Tannenbaum, LCSW is a Clinical Social Worker in Lakewood, New Jersey. Qualified in 2017, 9 years ago. Practices with Lakewood Resource and Referral Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone: (732) 364-2144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05903600 (NJ)

Record details

NPI number1912534272
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lakewood Resource And Referral Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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