Tenenbaum, Lauren

Tenenbaum, Lauren is an sole proprietor health care provider with primary practice located at 64 Illinois Ave , Port Monmouth NJ 07758-1179. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tenenbaum, Lauren can be contacted via phone (908) 433-6651.

Contact Information

Primary practice address
64 Illinois Ave Port Monmouth NJ 07758-1179
Phone: (908) 433-6651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05822300 New Jersey
Behavioral Health & Social Service Providers / School 1041S0200X 1034490 New Jersey

Profile Details

NPI number 1831663756
LBN Legal business name Tenenbaum, Lauren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2019
Last updated May 31st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831663756 NPPES
New Jersey MEDICAID 61913

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