Search › California › 1041C0700X
Keith Tanenbaum, LCSW
NPI 1477169605 · on the registry since 2020 · sole proprietor
Practice
- Address
- 924 Emerald Bay Rd
First Floor
South Lake Tahoe, CA 96150 - Phone
- (530) 782-9889
- Organisation at this address
- Sierra Child & Family Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Additional practice sites
- 1067 4th St, South Lake Tahoe, CA
- 1362 Us Highway 395 N Ste 102-27, Gardnerville, NV
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
2084H0002X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California