Individual provider Active NPI

Courtney Tanner, LCSW

  • Clinical Social Worker
  • Anderson, IN
National Provider Identifier
1114878717
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34012605A Issued in IN
Practice address
2020 Brown St
Anderson, IN 46016-4218
Phone
(317) 574-1254
Fax
(317) 674-0060
NPI assigned
Feb 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 34012605A IN Primary

Addresses

Primary practice location

2020 Brown St
Anderson, IN 46016-4218

Mailing address

697 Pro Med LN
Carmel, IN 46032-5323
Phone (317) 575-4125

Other identifiers 1

IdentifierTypeStateIssuer
300127964MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260224002936 IN Practitioner - Clinical Social Worker 9335620723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9615 E 148TH St
Suite 1
Noblesville, IN 46060-4371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34012605AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Indiana Health Inc. CurrentSince Jan 19, 2026 Accepting new patients
Aspire Indiana Inc. Clinical CurrentSince Jan 19, 2026 Accepting new patients
Aspire Indiana Health Inc CurrentSince Jan 19, 2026 Accepting new patients

Locations

2020 Brown St
Anderson, IN 46016
Phone (317) 649-8161

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

697 Pro Med Ln
Carmel, IN 46032
Phone (317) 574-0055

10731 N State Road 13
Elwood, IN 46036
Phone (765) 552-5009

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1114878717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 PRO MED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325323",
            "telephone_number": "317-575-4125",
            "fax_number": "317-674-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BROWN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164218",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "COURTNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34012605A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300127964",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.