Rose Mary Tanks, LISW-S,LICDC-CS,LPN

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1.0010124 Issued in OH

Practice address

6012 Desmond Street
Cincinnati, OH 45227-1812

Phone

(513) 213-7208

Fax

(513) 271-7697

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Talbert House

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1619900834
  Medicare reassignment NPD

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1649481540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 DESMOND STREET",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271812",
            "telephone_number": "513-213-7208",
            "fax_number": "513-271-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 DESMOND STREET",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271812",
            "telephone_number": "513-213-7208",
            "fax_number": "513-271-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKS",
        "first_name": "ROSE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LISW-S,LICDC-CS,LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "965748",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1.0010124",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN-049022",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "3115042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3152743",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO PROFESSIONAL CHEMICAL DEPENDENCY BOARD",
            "identifier": "965748",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO FAMILY COUNSELING AND SOCIAL WORKER BOARD",
            "identifier": "I.10010124",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO NURSING BOARD",
            "identifier": "PN.049022 MEDS",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thor Tangvald IV, M.D.
• Tanika L. Price
• Aki Tanimoto, M.D.
• Jessica Tank, APRN; PMHNP-BC
• Elizabeth Tanks
• Tanesha Tanks
• Molly Marie Tannehill
• Riley Tanner
• Tennille Tanner
• Tomika Tanner

• Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.