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JENNIFER JOAN TANNER LICSW, SUDP
NPI 1316417827
Social Worker in Lynnwood, WA

Active since November 27, 2018
4111 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036(425) 977-2560 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2021, Nov 27, 2018 (2 updates tracked since 2018).

About Jennifer Joan Tanner Licsw, Sudp NPPES

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

JENNIFER JOAN TANNER LICSW, SUDP (NPI 1316417827) is an individual social worker in Lynnwood, Washington, licensed in Washington (LW61682475) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1316417827
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJENNIFER JOAN TANNERCredential: LICSW, SUDP
Location Address4111 ALDERWOOD MALL BLVDLynnwood, WA 98036-6765
Mailing Address4111 Alderwood Mall BlvdLynnwood, WA 98036-6765 · (425) 977-2560
Phone(425) 977-2560
Sole ProprietorNo
Enumeration DateNovember 27, 2018
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1316417827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WA · LW61682475
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60717858 (WA)
4111 ALDERWOOD MALL BLVD, Lynnwood, WA 98036
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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.

SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 977-2560
CINDY KATE MARTINEZ MD
Student in an Organized Health Care Education/Training Program
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 977-2560
ANNE MARIE SCHMID
Counselor (Mental Health)
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 977-2560
GUADALUPE AGUIRRE VALENCIA
Peer Specialist
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 977-2560
MRS. BRENDA MARTINEZ DAVILA RN
Nurse Practitioner (Family)
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 616-4100
KATHY DOAN MSN, MPH, ARNP
Nurse Practitioner
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 616-4100
DR. DANH P LUU DDS
Dentist (General Practice)
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 977-2580
MAYRA C RODRIGUEZ CASE MANAGER
Case Manager/Care Coordinator
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 977-2560

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 Jennifer Tanner's NPI number?

The NPI number for Jennifer Tanner is 1316417827. It was assigned to this individual provider in the NPPES registry on November 27, 2018.

Where is Jennifer Tanner located?

Jennifer Tanner practices at 4111 Alderwood Mall Blvd, Lynnwood, WA 98036. The listed phone number is (425) 977-2560.

What is Jennifer Tanner's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jennifer Tanner was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.