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MARTY TANNER LISW-S
NPI 1235570771
Social Worker - Clinical in Boardman, OH

Active since July 12, 2013PECOS Enrolled
8166 MARKET ST STE M, BOARDMAN, OH 44512(216) 831-1040(216) 831-2667 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marty Tanner Lisw-s NPPES

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

MARTY TANNER LISW-S (NPI 1235570771) is an individual clinical provider in Boardman, Ohio, licensed in Ohio (I.1303256-SUPV) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boardman, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235570771
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARTY TANNERCredential: LISW-S
Location Address8166 MARKET ST STE MBoardman, OH 44512-6263
Mailing Address401 Fairvew RdFredonia, PA 16124 · (330) 402-7100
Phone(216) 831-1040
Fax(216) 831-2667
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 12, 2013
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 9, 2022
✔ NPI 1235570771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.1303256-SUPV
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.
Also ListedCounselorTaxonomy 101Y00000X
8166 MARKET ST STE M, Boardman, OH 44512
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Secondary Practice Location 1

Location 1945 Windham Ct, Suite 2Boardman, OH 44512-5034 · Phone (330) 953-1354

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marty Tanner Lisw-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991921546
PECOS Enrollment IDI20251231001396
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Marty Tanner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sondermind, P.A.
920 mi
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Sondermind PA
  • 70 clinicians in this Medicare group
NPI 1710647581 (844) 843-7279
Sondermind Provider Network LLC
1,283 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 313 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Marty Tanner's NPI number?

The NPI number for Marty Tanner is 1235570771. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is Marty Tanner located?

Marty Tanner practices at 8166 Market St Ste M, Boardman, OH 44512. The listed phone number is (216) 831-1040.

What is Marty Tanner's specialty?

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

Is Marty Tanner enrolled in Medicare?

Yes. Marty Tanner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marty Tanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marty Tanner reassigns Medicare benefits to 2 organizations: Sondermind, P.A. (Wichita, KS) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marty Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marty Tanner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Marty Tanner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marty Tanner was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.