Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Joan Tanner, LICSW, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316417827

Jennifer Joan Tanner, LICSW, SUDP is an Addiction (Substance Use Disorder) Counselor in Lynnwood, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4111 Alderwood Mall Blvd
Lynnwood, WA 98036-6765
Phone: (425) 977-2560
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LW61682475 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP60717858 (WA)

Record details

NPI number1316417827
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , SUDP
Sole proprietorNo
NPI enumeratedNovember 27, 2018
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Other providers in Lynnwood