Travis Tanner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

087599 Issued in NY

Practice address

225 W 35TH St FL 7
New York, NY 10001-1904

Phone

(917) 909-2332

Fax

(917) 909-2336

NPI assigned

Jul 10, 2015

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

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.

• Tanner LCSW PC

  dba Key Cognition Behavioral Health

  • Clinical Social Worker
  • New York, NY
  • NPI 1770428518
  NPD Authorized official
• Travis Tanner

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1124752118
  NPD Authorized official

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547251200000",
    "number": "1811371727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 36TH ST APT 4C",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061055",
            "telephone_number": "917-909-2332",
            "fax_number": "917-909-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 35TH ST FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011904",
            "telephone_number": "917-909-2332",
            "fax_number": "917-909-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "TRAVIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2019-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Louise Tanner, LMSW
• Madelyn Tanner
• Michael Tanner, M.D.
• Richard Tanner, MB, BCH, MRCPI
• Ronald Tanner
• Candace Tannis, MD
• Elie Tannous, MD
• Leigh Tannous, PA-C
• Natalie Anne Tanski, APN
• Laurie Sue Tansman, M.S., R.D., C.D.N.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; 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.