Individual provider · Type 1 NPI
Ebony Tanner, LCSW
Clinical Social Worker · Grandview, MO
Practice location
13313 Crystal Ave
Grandview, MO 64030-3338
Fax (816) 765-7002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2011004782 (MO) |
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 1255677654
Ebony Tanner, LCSW's National Provider Identifier is 1255677654, issued on Dec 13, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grandview, MO. The record was last updated on Aug 6, 2013.