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

Marty Tanner, LISW-S

Individual provider Clinical Social Worker · NPI 1235570771

Marty Tanner, LISW-S is a Clinical Social Worker in Boardman, Ohio. Qualified in 2011, 15 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2013
Specialties on file
2

Practice location Address checks out

8166 Market St Ste M
Boardman, OH 44512-6263
Phone: (216) 831-1040
Fax: (216) 831-2667
Show map & directions

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

Additional practice locations (1)

  • 945 Windham Ct, Boardman, OH 44512-5034 — (330) 953-1354

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1303256-SUPV (OH)
Counselor Taxonomy 101Y00000X

Record details

NPI number1235570771
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESNovember 10, 2022
Certification dateNovember 9, 2022
Mailing address401 Fairvew Rd, Fredonia, PA 16124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Boardman