Adam Tannenbaum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7917 Issued in OR

Practice address

2256 N Albina Ave Ste 170
Portland, OR 97227-1781

Phone

(720) 449-6848

NPI assigned

Apr 7, 2015

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1497141329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 N ALBINA AVE STE 170",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271781",
            "telephone_number": "720-449-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 N ALBINA AVE STE 170",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271781",
            "telephone_number": "720-449-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "ADAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ross Tangum, M.D.
• Julia E Tank, MD
• Meagan Tank
• Maxx Bridget Tanklage, L.AC.
• Subhash C Tannan, M.S., RPH
• Angela Tanner
• Barbara Tanner, R.N.
• Craig Edward Tanner, M.D.
• Cynthia Tanner, MSW
• Gerald E Tanner, MD

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.