IndividualActive
Alexia Tanner, LCSW
NPI 1770967317 · Clinical Social Worker · Tifton, GA
Provider details
- NPI number
- 1770967317
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- CSW005210 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
911 Main St S
Tifton, GA 31794-4867
Phone: (229) 396-4689
Fax: (229) 396-4605
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 2707
Tifton, GA 31793-0909
Registry dates
- Enumerated
- 2015-07-14
- Last updated
- 2020-08-02
- Certified
- 2020-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.