Individual provider · Type 1 NPI

Kevin Glen Tanner, LCSW

Clinical Social Worker · Sacramento, CA

NPI number 1760502280 Active

Practice location

4092 Savannah Lane
Sacramento, CA 95823

Mailing address

3105 1st Ave Ste C
Sacramento, CA 95817-1914

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29267 (CA)

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 1760502280

Kevin Glen Tanner, LCSW's National Provider Identifier is 1760502280, issued on Mar 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Feb 22, 2016.