Individual
MR. DARYN SCOTT TENENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
107 PROVIDENCE ST, PUTNAM, CT 06260
(860) 963-2658
(860) 963-2658
Mailing address
107 PROVIDENCE ST, PO BOX 84, PUTNAM, CT 06260
(860) 963-2658
(860) 963-2658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004608
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140004608CT01
ANTHEMBCBS
CT
01
—
164693
HEALTHNET
CT
01
—
2686-8
BCBS OF RI
RI
01
—
412176
BLUECHIP
RI
01
—
P2543702
OXFORD
CT
Enumeration date
09/15/2006
Last updated
07/08/2007
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