Melvin a. Tann, Acsw, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW003913 Issued in MO

Legal business name

MELVIN A. TANN, ACSW, LCSW, LLC

Practice address

7750 Clayton Rd Ste 300
Saint Louis, MO 63117-1341

Phone

(314) 644-4600

Fax

(314) 644-3274

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Melvin Avon Tann, ACSW, LCSW

Title

Owner

Phone

(314) 644-4600

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Horace Farwell, LCSW

  • Clinical Social Worker
  • St Louis, MO
  • NPI 1194811208
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1932374592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 CLAYTON RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171341",
            "telephone_number": "314-644-4600",
            "fax_number": "314-644-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 CLAYTON RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171341",
            "telephone_number": "314-644-4600",
            "fax_number": "314-644-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN A. TANN, ACSW, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "TANN",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "AVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-644-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW003913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE SHIELD",
            "identifier": "117385",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5791112",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496893306",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5628917",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "120062",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "R22291",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CAREPLUS",
            "identifier": "111089000",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHNET",
            "identifier": "196019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ORGANIZATION",
            "identifier": "19323745924",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL LIFE INS. CO.",
            "identifier": "270157",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Meloy
• Melrich Inc
• Kelsey Melsheimer, OTR/L
• Brenda Sue Melton, LPC
• Loren Melton
• Rylee Melvin
• Mem Health LLC
• Joshua Ishmael Membreno, MD
• Esat I Memisoglu, MD
• Aliza Anwar Memon, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.