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

Jonathan Tanenbaum, LCSW

Individual provider Clinical Social Worker · NPI 1598350811

Jonathan Tanenbaum, LCSW is a Clinical Social Worker in Palm Coast, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
Specialties on file
3
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

23 Rybar Ln
Palm Coast, FL 32164-6445
Phone: (386) 227-7552
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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 SW18105 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence SW18105 (FL)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1598350811
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESMarch 29, 2024
Certification dateFebruary 2, 2024
Mailing address282 Churchill Dr, Rochester, NY 14616-2108

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