Keith Tanenbaum, LCSW
NPI 1477169605 · Clinical Social Worker · South Lake Tahoe, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Tanenbaum, LCSW is a Clinical Social Worker provider in South Lake Tahoe, CA (NPI 1477169605).
Provider details
- NPI number
- 1477169605
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 89589 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1067 4th StSouth Lake Tahoe, CA 96150-3459Phone: (530) 600-1960Fax: (530) 542-4372
- 1362 US Highway 395 N Ste 102-27Gardnerville, NV 89410-7306Phone: (530) 782-9889
Registry dates
- Enumerated
- 2020-09-22
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Frequently asked questions
- What is Keith Tanenbaum's NPI number?
- Keith Tanenbaum's National Provider Identifier (NPI) is 1477169605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Tanenbaum's specialty?
- Keith Tanenbaum is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Keith Tanenbaum located?
- Keith Tanenbaum's practice location on file with NPPES is 924 Emerald Bay Rd, South Lake Tahoe, CA 96150.
- What is Keith Tanenbaum's phone number?
- The practice phone number listed in the NPPES registry for Keith Tanenbaum is (530) 782-9889.
- Does Keith Tanenbaum accept Medicare?
- Keith Tanenbaum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Tanenbaum's NPI active?
- Yes — Keith Tanenbaum's NPI (1477169605) is active in the NPPES registry as of the last update on 2022-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.