National Provider Identifier

Melissa Nicole Tanner, LMSW

Melissa Nicole Tanner, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Tonawanda, NY and a listed phone number of (716) 694-7670.

NPI 1720850514Tonawanda, NYSocial Worker

Profile Overview

NPI
1720850514
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
October 25, 2023
Last Updated
October 25, 2023

Practice Location

  • 600 Fletcher St
  • Tonawanda, NY 14150-3616

Phone: (716) 694-7670

Mailing Address

  • 21 Dekalb St
  • Tonawanda, NY 14150-5409

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1720850514
Entity Type
Individual
Last Name
Tanner
First Name
Melissa
Middle Name
Nicole
Credential
LMSW
Mailing Street Address
21 Dekalb St
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-5409
Mailing Country
US
Practice Street Address
600 Fletcher St
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-3616
Practice Country
US
Practice Phone
(716) 694-7670
Enumeration Date
October 25, 2023
Last Updated
October 25, 2023
Sex
Female
Sole Proprietor
No
Certification Date
October 25, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)