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

Jessica Lauren Tannenbaum, LCSW

Individual provider Social Worker · NPI 1417569252

Jessica Lauren Tannenbaum, LCSW is a Social Worker in Commack, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
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

6500 Jericho Tpke Ste 217
Commack, NY 11725-2907
Phone: (516) 298-5981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 106511 (NY)

Record details

NPI number1417569252
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 22, 2020
Last updated in NPPESMay 7, 2023
Certification dateMay 7, 2023

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