Jennifer Joan Tanner, LICSW, SUDP is a
Social Worker based in Lynnwood, Washington. Jennifer Joan Tanner is licensed to practice in Washington (license number LW61682475) and her current practice location is
4111 Alderwood Mall Blvd, Lynnwood, Washington. She can be reached at her office (for appointments etc.) via phone at
(425) 977-2560.
NPI number for Jennifer Joan Tanner is 1316417827 and her current mailing address is 4111 Alderwood Mall Blvd, Lynnwood, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316417827.
Healthcare Provider's Profile
| Full Name | Jennifer Joan Tanner |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 4111 Alderwood Mall Blvd, Lynnwood, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316417827
- Provider Enumeration Date: 11/27/2018
- Last Update Date: 08/01/2025
Medical Identifiers
Medical identifiers for Jennifer Joan Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316417827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60717858 (Washington) | Secondary |
| 104100000X | Social Worker | LW61682475 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Joan Tanner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer Joan Tanner, LICSW, SUDP 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 Ph: (425) 977-2560 | Jennifer Joan Tanner, LICSW, SUDP 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 Ph: (425) 977-2560 |
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