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REAGAN SHAE TANNER
NPI 1053284810
Social Worker - Clinical in Statesville, NC

Active since September 27, 2025
913 N CAROLINA AVE, STATESVILLE, NC 28677(704) 873-1114 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reagan Shae Tanner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REAGAN SHAE TANNER (NPI 1053284810) is an individual clinical provider in Statesville, North Carolina, licensed in North Carolina (P021021) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1053284810
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREAGAN SHAE TANNER
Location Address913 N CAROLINA AVEStatesville, NC 28677-3414
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 873-1114
Sole ProprietorNo
Enumeration DateSeptember 27, 2025
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1053284810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P021021
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
913 N CAROLINA AVE, Statesville, NC 28677
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGANN E GRACE-SANCHEZ MSW, LCSWA
Social Worker (Clinical)
913 N CAROLINA AVE
STATESVILLE, NC 28677
Iredell County (704) 871-0934
FELIX ALBERTO COLON VELEZ JR. LCSW, LCSWA
Social Worker (Clinical)
913 N CAROLINA AVE
STATESVILLE, NC 28677
Iredell County (704) 873-1114
MS. ANNE MICHELLE GOSS RBT
Behavior Technician
913 N CAROLINA AVE
STATESVILLE, NC 28677
Iredell County (704) 402-1060
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Counselor (Mental Health)
913 N CAROLINA AVE
STATESVILLE, NC 28677
Iredell County (704) 871-1045
ELIZABETH ROBIE PERDUE MA LPA
Psychologist (Clinical)
913 N CAROLINA AVE
STATESVILLE, NC 28677
Iredell County (704) 402-1060
MS. ROSE JERENE CASEY LCSWA
Social Worker (Clinical)
913 N CAROLINA AVE
STATESVILLE, NC 28677
Iredell County (704) 873-1114
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
Counselor (Mental Health)
913 N CAROLINA AVE
STATESVILLE, NC 28677
Iredell County (704) 402-1060
ELISA PHARR GREENE
Behavior Technician
913 N CAROLINA AVE
STATESVILLE, NC 28677
Iredell County (704) 881-3760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reagan Tanner's NPI number?

The NPI number for Reagan Tanner is 1053284810. It was assigned to this individual provider in the NPPES registry on September 27, 2025.

Where is Reagan Tanner located?

Reagan Tanner practices at 913 N Carolina Ave, Statesville, NC 28677. The listed phone number is (704) 873-1114.

What is Reagan Tanner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Reagan Tanner was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.