Individual provider · Type 1 NPI

Tatum Jobeth Tennenbaum, LICSW

Clinical Social Worker · Plymouth, MA

NPI number 1508566944 Active

Practice location

6 Wildcat Ln
Plymouth, MA 02360-3143

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X228592 (MA)
Clinical Social Worker Primary 1041C0700XLICSW1121076 (MA)

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 1508566944

Tatum Jobeth Tennenbaum, LICSW's National Provider Identifier is 1508566944, issued on Mar 6, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MA. The record was last updated on Feb 12, 2025.