Danita Tanner, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

M-08229 Issued in NM

Practice address

1235 Eighth St.
El Centro Family Health Las Vegas Clinic
Las Vegas, NM 87701-4219

Phone

(505) 425-6788

Fax

(505) 425-5408

NPI assigned

Oct 31, 2006

Last updated

Jul 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Tanner LCSW, LLC

  • Clinical Social Worker
  • Las Vegas, NM
  • NPI 1568917730
  NPD (past) Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1477639474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 N PASEO DE ONATE",
            "address_2": "P.O. BOX 158",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322618",
            "telephone_number": "505-753-7218",
            "fax_number": "505-753-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 EIGHTH ST.",
            "address_2": "EL CENTRO FAMILY HEALTH LAS VEGAS CLINIC",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014219",
            "telephone_number": "505-425-6788",
            "fax_number": "505-425-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "DANITA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-08229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Tafoya
• Jennifer Tafoya
• Jesus Tafoya, M.D.
• Nasim Talebraza-May, LMSW
• Tanner LCSW, LLC
• Lydia Tarango, BMS
• Stephen H Taylor, D.D.S.
• Teambuilders Behavioral Health, LLC
• Teambuilders Behavioral Health, LLC
• Darla Rae Tenorio, LBSW

• Social Worker in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.