Individual provider Active NPI

Ronald Tanner

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1891126470
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084940 Issued in NY
Practice address
32 Union SQ E
1104
New York, NY 10003-3209
Phone
(914) 310-5122
NPI assigned
Dec 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 089552 NY
Clinical Social Worker 1041C0700X 084940 NY Primary

Addresses

Primary practice location

32 Union SQ E
1104
New York, NY 10003-3209

Mailing address

32 Union SQ E
1104
New York, NY 10003-3209
Phone (914) 310-5122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250929002241 NY Practitioner - Clinical Social Worker 9335593094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew E Korner PSYD PCGroup PAC ID 4587890918, 4 clinicians

Practice addresses (Care Compare)

32 Union SQ E
Suite 1100
New York, NY 10003-3226
Phone (917) 916-9052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089552NYMDSocial Worker
084940NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew E Korner PSYD PC CurrentSince Sep 17, 2025 Accepting new patients

Locations

32 Union Sq E
Ste 1100
New York, NY 10003
Phone (212) 675-3205

444 Bedford Rd
#307
Pleasantville, NY 10570
Phone (917) 907-5225

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": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1891126470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E",
            "address_2": "1104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033209",
            "telephone_number": "914-310-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E",
            "address_2": "1104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033209",
            "telephone_number": "914-310-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "RONALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-06",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089552",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.