Individual Healthcare Provider
Keith John Tanenbaum, LCSW
Provider's NPPES record last updated: October 5, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1477169605
- Primary Specialty
- Social Worker — Clinical
- Practice Location
- South Lake Tahoe, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 2:50 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Social Worker
Clinical
Behavioral Health & Social Service Providers
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Taxonomy code 1041C0700X Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800XPsychiatry & Neurology
Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians
A psychiatrist or neurologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Taxonomy code 2084H0002X
Provider-Reported License Information
- Social Worker (California)
- 107974
- Counselor (California)
- 89589
- Psychiatry & Neurology (California)
- 107074
Practice Locations
Practice Location
924 Emerald Bay Rd
First Floor
South Lake Tahoe, California 96150
Phone: (530) 782-9889
Additional Practice Location
1067 4th St
South Lake Tahoe, California 96150-3459
Phone: (530) 600-1960
Fax: (530) 542-4372
Additional Practice Location
1362 US Highway 395 N Ste 102-27
Gardnerville, Nevada 89410-7306
Phone: (530) 782-9889
Record Information
- Enumeration Date
- September 22, 2020
- Provider's NPPES Record Last Updated
- October 5, 2022
- Certification Date
- October 5, 2022
- NPISignal NPPES Dataset
- August 2026
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