Individual provider · Type 1 NPI

Ellen Tannenbaum, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1184040032 Active

Practice location

721 N La Salle Dr
Chicago, IL 60654-3503

Fax (312) 236-5384

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.012695 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1184040032

Ellen Tannenbaum, LCSW's National Provider Identifier is 1184040032, issued on Mar 14, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Apr 22, 2026.