Individual provider Active NPI

Anita K Tanner, LMSW

  • Social Worker
  • Bingham Farms, MI
National Provider Identifier
1083182422
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801018423 Issued in MI
Practice address
30400 Telegraph Rd Ste 334
Bingham Farms, MI 48025-4573
Phone
(800) 311-5365
NPI assigned
Nov 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801018423 MI Primary
Clinical Social Worker 1041C0700X 6801018423 MI

Addresses

Primary practice location

30400 Telegraph Rd Ste 334
Bingham Farms, MI 48025-4573

Mailing address

27665 Yvette Dr
Warren, MI 48088-4712
Phone (248) 719-6292

Other practice location 1

27665 Yvette Dr
Warren, MI 48088-4712
Phone (248) 719-6292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210511001861 MI Practitioner - Clinical Social Worker 0446669097 Practice locations: Warren, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Warren, MI 48088
Phone (248) 719-6292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801018423MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1083182422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27665 YVETTE DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884712",
            "telephone_number": "248-719-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD STE 334",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254573",
            "telephone_number": "800-311-5365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27665 Yvette Dr",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480884712",
            "country_code": "US",
            "telephone_number": "248-719-6292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "ANITA",
        "middle_name": "K",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-04",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801018423",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.