Doctor profile · Federal record
Dr. Jack Tanenbaum, LCSW
Mental Health Counselor (CMS: Clinical Social Worker) · Lodi, CA
- NPI 1154419505
- Accepts Medicare
- 62 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1920 Tienda Dr, Ste 101
Lodi, CA 952423930
(916) 662-5947
fax (209) 366-1133 - Mailing address
-
2715 W Kettleman Ln, Ste 203-113
Lodi, CA 952429289
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- October 1, 2010
- Year of graduation
- 1964 — 62 yrs since
- Specialty taxonomy
- 101YM0800X — NUCC code
- State license (1)
- California #LCS 1098
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154419505. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
127
Distinct HCPCS
1
Medicare allowed
$12,367
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90837 |
Psychotherapy, 1 hour | 127 | 11 | $97 |
In context: peer comparison
Among 1 peers in Lodi Mental Health Counselor, average services per provider: 127. This provider delivers 1.0× the peer median.Frequently asked questions
What is Dr. Jack Tanenbaum's medical specialty?
Dr. Jack Tanenbaum practices Mental Health Counselor in Lodi, CA.
Where does Dr. Jack Tanenbaum practice?
Dr. Jack Tanenbaum practices at 1920 Tienda Dr, Lodi, CA 952423930. Office phone: 9166625947.
What is Dr. Jack Tanenbaum's NPI?
Dr. Jack Tanenbaum's National Provider Identifier (NPI) is 1154419505, issued by NPPES.
Does Dr. Jack Tanenbaum accept Medicare assignment?
Yes. Dr. Jack Tanenbaum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Tanenbaum commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837). Source: CMS Medicare Physician & Other Practitioners file.