Active NPI
Lauren Elizabeth Tanzer, LCSW
- Clinical Social Worker
- Alameda, CA
National Provider Identifier
1659688067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 92288
- Practice address
- 1910 Central Ave
Alameda, CA 94501-2623 - Phone
- (510) 769-7100
- NPI assigned
- Sep 7, 2010
- Last updated
- Feb 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 92288 | CA | Primary |
Addresses
Primary practice location
1910 Central Ave
Alameda, CA 94501-2623
Mailing address
2437 Roosevelt Ave
Berkeley, CA 94703-1929
Phone (978) 697-4695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92288 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1659688067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2437 ROOSEVELT AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947031929",
"telephone_number": "978-697-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 CENTRAL AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945012623",
"telephone_number": "510-769-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANZER",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "92288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.