Kevin Glen Tanner in Sacramento - Clinical
Kevin Glen Tanner - NPI 1760502280
Kevin Glen Tanner is a Clinical in Sacramento, California. Kevin Glen Tanner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Glen Tanner is 1760502280. The last update date is 2016-02-22.
Kevin Glen Tanner's current location address is 3105 1st Ave Ste C, Sacramento, California. You can contact this provider via phone number 9165497802 and fax number 9163661920. The mailing address for Kevin Glen Tanner is 3105 1st Ave Ste C, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Glen Tanner |
|---|---|
| Address | 3105 1st Ave Ste C, Sacramento, California |
| Phone Number | 9165497802 |
| Fax Number | 9163661920 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1760502280 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2016-02-22 |
Provider Mailing Address Detail
| Address | 3105 1st Ave Ste C |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958171914 |
| Phone Number | 9165497802 |
| Fax Number | 9163661920 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 29267 |
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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, certif |
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Post Comment/ Review Below
What is the Kevin Glen Tanner's unique identification number?
The Kevin Glen Tanner has been assigned the NPI (National Provider Identifier) Number 1760502280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kevin Glen Tanner?
The Kevin Glen Tanner is physically situated at 3105 1St Ave Ste C, in the city of Sacramento, state of CA, with the postal code 958171914.
What is Kevin Glen Tanner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Glen Tanner's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1760502280 assigned to Kevin Glen Tanner?
The Kevin Glen Tanner was issued its 1760502280 on 2007-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kevin Glen Tanner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin Glen Tanner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-02-22.
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