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MARY ELLEN TANNER LCSW
NPI 1063767796
Social Worker - Clinical in Covina, CA

Active since July 18, 2012
4740 N GRAND AVE, COVINA, CA 91724(626) 859-2089(626) 859-6537 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ellen Tanner Lcsw NPPES

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

MARY ELLEN TANNER LCSW (NPI 1063767796) is an individual clinical provider in Covina, California, licensed in California (LCSW73551) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1063767796
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY ELLEN TANNERCredential: LCSW
Location Address4740 N GRAND AVECovina, CA 91724-2005
Mailing Address4740 N Grand AveCovina, CA 91724-2005 · (626) 859-2089 · Fax (626) 859-6537
Phone(626) 859-2089
Fax(626) 859-6537
Sole ProprietorNo
Enumeration DateJuly 18, 2012
Last NPPES UpdateDecember 6, 2016
✔ NPI 1063767796 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 CA · LCSW73551
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.
4740 N GRAND AVE, Covina, CA 91724
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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.

CHRISTOPHER GANNON
Rehabilitation Practitioner
4740 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 859-2089
ELSA ELIZALDE BA
Rehabilitation Practitioner
4740 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 859-2089
MRS. RUTH ISELA SIGALA M.A.
Rehabilitation Practitioner
4740 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 859-2089
MS. VANESSA LINDA CRUZ TORRES LCSW
Social Worker (Clinical)
4740 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 422-8033
BRITTANY KERSEY
Licensed Psychiatric Technician
4740 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 859-2089
ERIKA IRIGOYEN-GARZON B.A
Rehabilitation Practitioner
4740 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 859-2089
SASHA HEFLIN II
Counselor (Mental Health)
4740 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 859-2089
STEVE PAUL MOLINE BA
Rehabilitation Practitioner
4740 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 859-2089

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 Mary Tanner's NPI number?

The NPI number for Mary Tanner is 1063767796. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Mary Tanner located?

Mary Tanner practices at 4740 N Grand Ave, Covina, CA 91724. The listed phone number is (626) 859-2089.

What is Mary 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 Mary Tanner was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.