MARTY TANNER (LISW-S) – Clinical Social Worker, NPI 1235570771
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,650 CLINICAL SOCIAL WORKER in OH
Provider Addresses for MARTY TANNER (LISW-S)
945 Windham Ct
Suite 2
Boardman, OH 445125034
Phone: (330) 953-1354
Type: Location
10400 MIDWAY DR
NEW MIDDLETOWN, OH 444427731
Phone:
Type: Mailing
945 WINDHAM CT
SUITE 2
BOARDMAN, OH 445125034
Phone: (330) 953-1354
Type: Location
401 FAIRVEW RD
FREDONIA, PA 16124
Phone: (330) 402-7100
Type: Mailing
8166 MARKET ST STE M
BOARDMAN, OH 445126263
Phone: (216) 831-1040
Fax: (216) 831-2667
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210504002012 | I | Clinical Social Worker | OH | TBD |
| I20231106003480 | I | Clinical Social Worker | PA | TBD |
| I20251231001396 | I | Clinical Social Worker | WV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44512)
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