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

Ellen Tannenbaum, LCSW

Individual provider Clinical Social Worker · NPI 1184040032

Ellen Tannenbaum, LCSW is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
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

721 N La Salle Dr
Chicago, IL 60654-3503
Phone: (773) 551-3067
Fax: (312) 236-5384
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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 149.012695 (IL)

Record details

NPI number1184040032
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 14, 2014
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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