Individual provider · Type 1 NPI

Reagan Shae Tanner

Clinical Social Worker · Statesville, NC

NPI number 1053284810 Active

Practice location

913 N Carolina Ave
Statesville, NC 28677-3414

Call (704) 873-1114 Map

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP021021 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1053284810

Reagan Shae Tanner's National Provider Identifier is 1053284810, issued on Sep 27, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Statesville, NC. The record was last updated on Sep 30, 2025.