Jason Matthew Tanner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0873C Issued in AL

Practice address

372 S Greeno Rd
Fairhope, AL 36532-1916

Phone

(251) 990-4243

Fax

(251) 928-0126

NPI assigned

Aug 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Altapointe Health Systems, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1518095413
  Medicare reassignment Care Compare group NPD
• Altapointe Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Foley, AL
  • NPI 1003707332
  NPD

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1255588166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 S GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321916",
            "telephone_number": "251-990-4243",
            "fax_number": "251-928-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 S GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321916",
            "telephone_number": "251-990-4243",
            "fax_number": "251-928-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0873C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "051530538",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seyed Javid Taghados, MD
• Seyedeh Hasti Taghados, MD
• Heather Green Talbot, CRNP
• Talking Tides Therapy LLC
• Mandy Maurer Talma, PSY.D.
• Jeana G. Tarziers, M.D.
• Mary Louise Michelle Taulbee, MSW
• Codi Taylor, DC
• Jasmine Nickole Taylor
• Thomas Gregory Terral, MD

• Clinical Social Worker in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.