Mary Therese Tanner, LISW
NPI 1538590641ActiveIndividual· Social Worker, Clinical· Fairfield, OH
Social Worker, Clinical (LISW) with Mindfully LLC, practicing in Fairfield, Ohio. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1538590641 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW |
| Sole proprietor | No |
| NPI issued | Nov 29, 2013 |
| Last updated in NPPES | Sep 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I1700193 | OH |
| Social Worker, Clinical | 1041C0700X | 0008173 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OH) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Mindfully LLCDenver, CO · 62 clinicians
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