Martin Patterson Tanner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW22509 Issued in CA

Practice address

44648 15TH St W
Lancaster, CA 93534-2806

Phone

(661) 463-0501

NPI assigned

May 10, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1003175167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S 6TH ST",
            "city": "BASIN",
            "state": "WY",
            "postal_code": "824109510",
            "telephone_number": "661-463-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44648 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342806",
            "telephone_number": "661-463-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Basin",
            "state": "WY",
            "postal_code": "824109510",
            "country_code": "US",
            "telephone_number": "661-463-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MARTIN",
        "middle_name": "PATTERSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW1639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW22509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loreen Barlin Tan-Eslao, M.D.
• Luis Dakay Tan Jr., M.D.
• Porvenir Tan II, NP
• Christina Alice Tang, OD
• Michael Y Tang, MSW
• Bishoy Tannious, PHARMD
• Ben Tantayanubutr, MD
• Taoheed Hasan
• Yuriana Tapia Lozoya
• Debra A Tapia

• Clinical Social Worker in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.