Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WYATT LEE TANNER, LSW, LCDC III
ActiveMR. WYATT LEE TANNER, LSW, LCDC III is a Social Worker healthcare provider located in REYNOLDSBURG, Ohio. NPI 1265973150 is currently active in the NPPES registry. Verify at CMS.
Social Worker · REYNOLDSBURG, OH
Registration Details
- NPI Number
- 1265973150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2017 (9.4164854206813 yrs)
- Last Updated
- Sep 19, 2023
- Licenses
-
S.1802169 (OH)151005 (OH)
Practice Information
- Address
-
6434 E MAIN STREYNOLDSBURG, OH, 430687300Browse OH providers · Browse ZIP 43068
- Phone
- 6145284471
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Social Worker Providers in REYNOLDSBURG, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. NOREEN ELLA PALMER | MSW LISW | 1124073168 |
| MS. DIANA RAE LIPPENCOTT | MA, LSW, LICDC | 1861516569 |
| MRS. COLLEEN SUE KIMBALL | LSW | 1336449834 |
| KRISTIN MCALLISTER | LISW-S | 1881105435 |
| MERCY SCHWALM | CDCA | 1811401888 |
| CHRISTINA ODA | LSW | 1184126435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.