MRS. MARY THERESE TANNER (NPI# 1538590641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538590641 |
| Entity Type | Individual |
| Full Name | MRS. MARY THERESE TANNER |
| Credential | LISW |
| Practice Address |
1251 Nilles Rd Ste 5 Fairfield OH 45014-7205 |
| Practice Telephone | 5139390300 |
| Practice Fax Number | 5139390310 |
| Mailing Telephone | 5139390300 |
| Mailing Fax Number | 5139390310 |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I1700193 | OH | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
0008173 | IA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1519 S Gilbert St, Iowa City, IA 522404367 | 3192481005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639583420 | Mary Beth Tanner | Occupational Therapist | 1907 Refinery Rd, Gainesville, TX 76240-2111 | 2014-06-19 |
| 1063767796 | Mary Ellen Tanner | Social Worker | 4740 N Grand Ave, Covina, CA 91724-2005 | 2012-07-18 |
| 1174751549 | Mary Tanner | Pediatrics | 1600 Clifton Rd Ne, Atlanta, GA 30329 | 2009-06-24 |
| Street Address |
1251 NILLES RD STE 5 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316901812 | Dustin Mark Faulkner | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2006-04-13 |
| 1396361945 | Compass Point Partners In Wellness, Inc. | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2020-06-19 |
| 1306481197 | Karen Durgans | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2019-11-15 |
| 1649811548 | Jodi Annette Haley | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014 | 2019-10-01 |
| 1487207684 | Frank Wamsley | Social Worker | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2019-07-17 |
| 1922650860 | Mariah Goodwin | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2019-07-11 |
| 1316503337 | Elizabeth Rosemary Pastina | Social Worker | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2019-05-15 |
| 1427520287 | Aarin Kristin Cox | Social Worker | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2018-12-18 |
| 1073080685 | Gregory William Rogers | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2018-11-01 |
| 1376037069 | Julie Arnold | Counselor | 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| 1386260040 | Phoebe Ward Gould Musico | Social Worker | 45 Pope St, Fairfield, CT 06825-4328 | 2020-06-18 |
| 1003445008 | Jennifer Mikell Lincoln | Social Worker | 1325 Crowley Ln Apt 6, Fairfield, CA 94533-6001 | 2020-04-02 |
| 1174166185 | Holly Mundon | Social Worker | 5 Darby Heath, Fairfield, OH 45014-5261 | 2019-10-22 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1730642935 | Susan Lipman Henry | Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | 2019-04-13 |
| 1689138133 | Sue Nadel | Social Worker | 60 Hitching Post Ln, Fairfield, CT 06824-3133 | 2019-01-29 |
| 1194296905 | Claudia Mast | Social Worker | 301 W Burlington, Fairfield, IA 52556-5255 | 2018-12-06 |
| 1942782842 | Michael Joseph Molina | Social Worker | 510 Parker Rd, Fairfield, CA 94533-9000 | 2018-09-06 |
| 1134605256 | Ashley Marie Stringer | Social Worker | 7000 Grasselli Rd, Fairfield, AL 35064-2424 | 2018-07-11 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.