Tanner Craun, LMSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

112517 Issued in NY

Practice address

1099 Jay St BLDG J
Rochester, NY 14611-1153

Phone

(585) 328-0873

Fax

(585) 436-0103

NPI assigned

Oct 5, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 30, 2024 through Dec 30, 2026

Medicare enrollment (NPD)

Not 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.

• Arrow Counseling Services, LCSW, PLLC

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1821969254
  NPD Authorized official
• Villa of Hope

  • Voluntary or Charitable Agency
  • Rochester, NY
  • NPI 1578640298
  NPD

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1760154009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 JAY ST BLDG J",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146111153",
            "telephone_number": "585-328-0873",
            "fax_number": "585-436-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 JAY ST BLDG J",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146111153",
            "telephone_number": "585-328-0873",
            "fax_number": "585-436-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAUN",
        "first_name": "TANNER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "112517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianela Crann
• Cheri R Cranston, M.D.
• Alexander Thomas Cranwell, MD
• Alicia Cranwell, NP
• Lori Kathryn Crassi
• Catherine Rachel Craven, MD
• Kieradanielle Craven
• Corey William Craw, CRPA-P-7499
• Amy Crawford, MS, OTR/L
• Crystal Latoya Crawford, LPN

• Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.