AMY TANNER (LCSW) – Clinical Social Worker, NPI 1134265077

AMY TANNER (LCSW) is a healthcare provider. based in Lake zurich, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 149.011144 (IL). The NPI Number for AMY TANNER (LCSW) is 1134265077

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
AMY TANNER (LCSW)
NPI
1134265077
Phone
(847) 438-4222
Address
61 S OLD RAND RD
Enumeration Date
29 January 2007
Last Update Date
13 February 2009

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8474384222
Graduation Year
2002 (24 years ago)
PAC ID
2062674963
Group Practice PAC ID
1557523552
Professional Enrollment ID
I20120509000494
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for AMY TANNER (LCSW)

  • 61, South Old Rand Road, Lake Zurich Highlands, Lake Zurich, Lake County, Illinois, 60047, United States

    LAKE ZURICH, IL 600473127

    Phone: (847) 438-4222

    Fax: (847) 438-0844

    Type: Location

  • 5801-5805, West Eddy Street, Portage Park, Chicago, Jefferson Township, Cook County, Illinois, 60630, United States

    UNIT 1D

    CHICAGO, IL 606344390

    Phone: (773) 430-1075

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60047)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557523552View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
-IL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical PsychologistIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistIL

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Frequently asked questions

What NPI should I save for AMY TANNER (LCSW)?
Save NPI 1134265077 if you need a stable reference for AMY TANNER (LCSW).
Does this profile mean AMY TANNER (LCSW) is currently active?
Yes — AMY TANNER (LCSW) appears active in the national provider directory.
What kind of provider is AMY TANNER (LCSW)?
The page reflects Clinical Social Worker for AMY TANNER (LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for AMY TANNER (LCSW)?
The page summarizes Lake Zurich, Illinois for AMY TANNER (LCSW); expand the address list for detail.
What if Lake Zurich, Illinois seems incomplete?
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