Individual provider · Type 1 NPI
Tanya Lane Gustafson, LISW-S
Clinical Social Worker · Elyria, OH
Practice location
356 Brittany Ln
Elyria, OH 44035-4169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801108663 (MI) |
| Clinical Social Worker Primary | 1041C0700X | I.2002301 (OH) |
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 1073441234
Tanya Lane Gustafson, LISW-S's National Provider Identifier is 1073441234, issued on May 9, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elyria, OH. The record was last updated on May 9, 2026.