Individual provider Active NPI

Donna Katherine Tanner, MSW, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1639401003
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078874 Issued in DC
Practice address
4125 Albemarle St NW
Washington, DC 20016-2105
Phone
(202) 895-9462
Fax
(202) 895-0245
NPI assigned
Feb 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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 LC50078874 DC Primary

Addresses

Primary practice location

4125 Albemarle St NW
Washington, DC 20016-2105

Mailing address

4125 Albemarle St NW
Washington, DC 20016-2105
Phone (202) 895-9462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100405000123 DC Practitioner - Clinical Social Worker 7416083167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iona Senior ServicesGroup PAC ID 5890736136, 6 clinicians

Practice addresses (Care Compare)

4125 Albemarle St NW
Washington, DC 20016-2105
Phone (202) 895-9448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iona Senior Services CurrentSince Feb 1, 2010 Accepting new patients

Locations

4125 Albemarle St NW
Washington, DC 20016
Phone (202) 895-9448

Organizations & group practices 1

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": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1639401003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 ALBEMARLE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162105",
            "telephone_number": "202-895-9462",
            "fax_number": "202-895-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 ALBEMARLE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162105",
            "telephone_number": "202-895-9462",
            "fax_number": "202-895-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "DONNA",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.