Carol Herman Tannen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10194 Issued in FL

Practice address

4489 Woodfield Blvd
Boca Raton, FL 33434-5317

Phone

(561) 289-9681

Fax

(561) 241-4274

NPI assigned

Feb 24, 2011

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1417254608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4489 WOODFIELD BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345317",
            "telephone_number": "561-241-4622",
            "fax_number": "561-241-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 WOODFIELD BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345317",
            "telephone_number": "561-289-9681",
            "fax_number": "561-241-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNEN",
        "first_name": "CAROL",
        "middle_name": "HERMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Benjamin Taratuta, LMHC, NCC, CAMS-II

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.