Individual provider Active NPI

Nancy L. Tanner, LCSW

  • Clinical Social Worker
  • Grand Junction, CO
National Provider Identifier
1043304793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
989078 Issued in CO
Practice address
918 N 7TH St
Suite 3
Grand Junction, CO 81501-3195
Phone
(970) 242-3897
Fax
(970) 256-7882
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 989078 CO Primary

Addresses

Primary practice location

918 N 7TH St
Suite 3
Grand Junction, CO 81501-3195

Mailing address

918 N 7TH St
Suite 3
Grand Junction, CO 81501-3195
Phone (970) 242-3897

Other identifiers 2

IdentifierTypeStateIssuer
11558431OtherCOCAQH
204309253001OtherCOROCKY MTN HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
989078COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043304793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 N 7TH ST",
            "address_2": "SUITE 3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013195",
            "telephone_number": "970-242-3897",
            "fax_number": "970-256-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 N 7TH ST",
            "address_2": "SUITE 3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013195",
            "telephone_number": "970-242-3897",
            "fax_number": "970-256-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "NANCY",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "989078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11558431",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MTN HEALTH PLANS",
            "identifier": "204309253001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.