MR. TERRANCE NEIL TANNER (NPI# 1477552313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477552313 |
| Entity Type | Individual |
| Full Name | MR. TERRANCE NEIL TANNER |
| Credential | LCSW |
| Practice Address |
5314 Lincolnway E Mishawaka IN 46544-4249 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5742569032 |
| Practice Fax Number | 5742569049 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1041C0700X | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS # | 000000282686 | 01 |
| IN | RR MEDICARE | P01672681 | 01 |
| IN | ANTHEM | 000000856457 | 01 |
| Street Address |
5314 LINCOLNWAY E |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689950867 | Elkhart Clinic, LLC | Clinic/Center | 5314 Lincolnway E, Mishawaka, IN 46544-4249 | 2011-11-01 |
| 1518256098 | Kathryn Anne Kenney | Psychiatry & Neurology | 5314 Lincolnway E, Mishawaka, IN 46544-4249 | 2011-04-05 |
| 1093888430 | Heidi A Collins | Physical Medicine & Rehabilitation | 5314 Lincolnway E, Mishawaka, IN 46544-4249 | 2006-11-15 |
| 1275550899 | Beacon Medical Group, Inc. | Physical Medicine & Rehabilitation | 5314 Lincolnway E, Mishawaka, IN 46544-4249 | 2006-07-17 |
| 1992752018 | Chiedu Charles Onunkwo | Internal Medicine | 5314 Lincolnway E, Mishawaka, IN 46544-4249 | 2006-05-27 |
| 1508831157 | John Benjamin Baccus IIi | Anesthesiology | 5314 Lincolnway E, Mishawaka, IN 46544-4249 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982241 | Cynthia Marie Shepherd | Social Worker | 3835 Edison Lakes Pkwy Ste 200, Mishawaka, IN 46545-3462 | 2020-01-30 |
| 1013173400 | Cheryl L Bonsell | Social Worker | 250 E. Day Road, Mishawaka, IN 46545-3471 | 2008-08-05 |
| 1477624054 | Avonne Deanne Dainton | Social Worker | 113 Lincoln Way East, Mishawaka, IN 46544-2016 | 2006-11-13 |
| 1417968587 | Dawn Elaine Bontrager | Social Worker | 203 E Mishawaka Ave, Mishawaka, IN 46545-6602 | 2006-08-11 |
| 1770590986 | Erin K Leonard | Social Worker | 3835 Edison Lakes Parkway, Suite # 200, Mishawaka, IN 46545-3414 | 2006-08-01 |
| 1275501355 | Kathleen Renee Mast | Social Worker | 113 Lincolnway E, Mishawaka, IN 46544-2016 | 2006-03-14 |
| 1467441303 | Teresia Hopson | Social Worker | 323 W 4th St, Mishawaka, IN 46544-1913 | 2005-10-13 |
| 1770571697 | Rita M Mitcheff | Social Worker | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2005-10-13 |
| 1831187756 | Donna M Skorupski | Social Worker | 1818 Went Ave Ste A, Mishawaka, IN 46545-6482 | 2005-10-13 |
| 1679182208 | Choose Joy Counseling Services LLC | Social Worker | 210 S Race St, Mishawaka, IN 46544-2032 | 2020-07-29 |
| Find all providers in MISHAWAKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.