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

Active since July 20, 2005PECOS Enrolled
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: July 26, 2026.

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

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 is enrolled in Medicare PECOS and 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
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

Secondary Practice Locations 2

Location 13301 County Road 6 EElkhart, IN 46514-7673 · Phone (574) 264-9635 · Fax (574) 262-0398
Location 21815 E Ireland RdSouth Bend, IN 46614-2845 · Phone (574) 647-1700 · Fax (574) 262-0398

Other Identifiers 4

OtherP01672681IN · Rr Medicare
Medicaid300006930IN
Other000000282686IN · Anthem Bcbs #
Other000000856457IN · Anthem

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Terrance Neil Tanner Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

Nurse Practitioner (Family)
5314 LINCOLNWAY E
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
5314 LINCOLNWAY E
MISHAWAKA, IN 46544
Family Medicine
5314 LINCOLNWAY E
MISHAWAKA, IN 46544
Psychiatry & Neurology (Neurology)
5314 LINCOLNWAY E
MISHAWAKA, IN 46544
Family Medicine
5314 LINCOLNWAY E
MISHAWAKA, IN 46544
Internal Medicine (Hospice and Palliative Medicine)
5314 LINCOLNWAY E
MISHAWAKA, IN 46544
Family Medicine
5314 LINCOLNWAY E
MISHAWAKA, IN 46544
Social Worker (Clinical)
5314 LINCOLNWAY E
MISHAWAKA, IN 46544

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 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.

Where is Terrance Tanner located?

Terrance Tanner practices at 5314 Lincolnway E, Mishawaka, IN 46544. The listed phone number is (574) 256-9032.

What is Terrance Tanner's specialty?

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

Is Terrance Tanner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Terrance Tanner was last updated on March 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.