Mr. Jack S. Tanenbaum
LCSW | Mental Health Counselor
1920 Tienda Dr, Ste 101, Lodi
California, 95242-3930
916-662-5947 209-366-1133
Maps & DirectionsMr. Jack S. Tanenbaum is a Lodi, California based counselor who is specialized as Mental Health Counselor. Active license number of Mr. Jack S. Tanenbaum is LCS 1098 for Mental Health Counselor in California. His current practice location is 1920 Tienda Dr, Ste 101, Lodi. Patients can book an appointment with him at 916-662-5947.
Mr. Jack S. Tanenbaum is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mr. Jack S. Tanenbaum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Jack S. Tanenbaum |
| Specialization: | Mental Health Counselor |
| Gender: | Male |
| Credentials: | LCSW |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1920 Tienda Dr, Ste 101, Lodi,
California, 95242-3930 |
| Phone: | 916-662-5947 |
| Fax: | 209-366-1133 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1154419505 |
| NPI Enumeration Date: | 11 Oct, 2006 |
| NPI Last Update On: | 01 Oct, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jack S. Tanenbaum are as mentioned below.
| License Number | Specialization | State | Status | |
| LCS 1098 | Mental Health Counselor | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2715 W Kettleman Ln, Ste 203-113
Lodi, California |
| Zip: | 95242-9289 |
| Phone Number: | 916-662-5947 |
| Fax Number: | 209-366-1133 |
Patients can reach Mr. Jack S. Tanenbaum at
1920 Tienda Dr, Ste 101, Lodi, California or can
call to book an appointment on 916-662-5947.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.