STACEY TANENBAUM (NPI# 1588134548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588134548 |
| Entity Type | Individual |
| Full Name | STACEY TANENBAUM |
| Practice Address |
2171 Jericho Tpke Ste 335 Commack NY 11725-2947 |
| Mailing Address |
52 Roseanne Dr Woodbury NY 11797-1904 |
| Practice Telephone | 6314867788 |
| Mailing Telephone | 3108041712 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | P13716 | NY | Behavioral Health & Social Service Providers |
| Street Address |
2171 JERICHO TPKE STE 335 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194215632 | Janis Hoffman Lcsw,pllc | Social Worker | 2171 Jericho Tpke Ste 335, Commack, NY 11725-2947 | 2018-05-10 |
| 1992266472 | Rebecca Hladky | Social Worker | 2171 Jericho Tpke Ste 335, Commack, NY 11725-2947 | 2019-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159806 | Jacqueline Sabatino | Social Worker | 6500 Jericho Tpke Ste 217, Commack, NY 11725-2907 | 2020-09-21 |
| 1619592862 | Lisa Maria Muller | Social Worker | 24 Harvard Ln, Commack, NY 11725-2528 | 2020-06-13 |
| 1437783305 | Nicole Michele Merkle | Social Worker | 2171 Jericho Tpke Ste Ll2, Commack, NY 11725-2900 | 2020-02-28 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1720551997 | Jennifer Joanne Lino | Social Worker | 39 Patricia Dr, Commack, NY 11725-3328 | 2019-01-09 |
| 1013488592 | Elizabeth Stevens | Social Worker | 3 Gehrig St, Commack, NY 11725-2006 | 2018-12-10 |
| 1386042786 | Jennifer Katz | Social Worker | 354 Townline Rd, Commack, NY 11725-1423 | 2014-12-17 |
| 1881013423 | Trevor Kalman | Social Worker | 58 Gannet Dr, Commack, NY 11725-4929 | 2014-04-10 |
| 1104122068 | Michelle Friedman | Social Worker | 11 Byron Rd, Commack, NY 11725-1326 | 2011-02-09 |
| 1932342086 | Pamela Gershowitz | Social Worker | 69 Wichard Blvd, Commack, NY 11725-1725 | 2009-04-18 |
| Find all providers in COMMACK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.