Tanner, Nancy Kathleen
Tanner, Nancy Kathleen is an sole proprietor health care provider with primary practice located at 105 Ne 4Th St , Fort Lauderdale FL 33301-3239. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tanner, Nancy Kathleen can be contacted via phone (954) 868-6136.Contact Information
Primary practice address
105 Ne 4Th St
Fort Lauderdale FL 33301-3239
Phone: (954) 868-6136
Fax: (954) 761-1412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW0002284 | Florida |
Profile Details
| NPI number | 1013055573 |
|---|---|
| LBN Legal business name | Tanner, Nancy Kathleen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2007 |
| Last updated | Feb 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013055573 | NPPES |
| Florida | MEDICAID | 768498300 |
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