Jennifer Tanis, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096681 Issued in MI

Practice address

1070 Waltham Ave SE
Grand Rapids, MI 49546-3623

Phone

(313) 378-5727

NPI assigned

Apr 6, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1629501671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 WALTHAM AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463623",
            "telephone_number": "313-378-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 WALTHAM AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463623",
            "telephone_number": "313-378-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIS",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Binhan Jessica Tang
• Evan Tanguay
• Cody Jay Tanis
• Elizabeth Tanis, DPT
• Jean Tashina Tanis
• Matthew Tanis, D.O.
• Trisha Nichole Tanis, PHD
• John Mitchell Tanja, OTR
• Tank Consultation PLLC
• Evan Tank, DO

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.