MR. TERRANCE NEIL TANNER LCSW
NPI 1477552313
Social Worker - Clinical in Mishawaka, IN

Q: What is Terrance Tanner's NPI number?

The NPI number for Terrance Tanner is 1477552313. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Terrance Tanner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Terrance Tanner was last updated on March 17, 2023. 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.

Active since July 20, 2005

5314 LINCOLNWAY E, MISHAWAKA, IN 46544(574) 256-9032(574) 256-9049 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2023, Aug 31, 2022, Apr 6, 2021 and 1 more (4 updates tracked since 2020).

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About Mr. Terrance Neil Tanner Lcsw NPPES

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

MR. TERRANCE NEIL TANNER LCSW (NPI 1477552313) is an individual clinical provider in Mishawaka, Indiana, licensed in Indiana (1041C0700X) and active in the NPI registry since July 2005. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477552313

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. TERRANCE NEIL TANNERCredential: LCSW

Location Address5314 LINCOLNWAY EMishawaka, IN 46544-4249

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (547) 647-1840

Phone(574) 256-9032

Fax(574) 256-9049

Sole ProprietorNo

Enumeration DateJuly 20, 2005

Last NPPES UpdateMarch 17, 20234 updates tracked since enumeration

NPPES CertifiedMarch 17, 2023

✔ NPI 1477552313 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 IN · 1041C0700X

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.

5314 LINCOLNWAY E, Mishawaka, IN 46544

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Secondary Practice Locations 2

Location 11815 E Ireland RdSouth Bend, IN 46614-2845 · Phone (574) 647-1700 · Fax (574) 262-0398

Location 23301 County Road 6 EElkhart, IN 46514-7673 · Phone (574) 264-9635 · Fax (574) 262-0398

Other Identifiers 4

OtherP01672681IN · Rr Medicare

Medicaid300006930IN

Other000000282686IN · Anthem Bcbs #

Other000000856457IN · Anthem

Other Providers at the Same Location NPPES 14

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

AMY M BROWN NP

Nurse Practitioner (Family)