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

Mr. Wyatt Lee Tanner, LSW, LCDCIII

Individual provider Social Worker · NPI 1265973150

Mr. Wyatt Lee Tanner, LSW, LCDCIII is a Social Worker in Reynoldsburg, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

6434 E Main St
Reynoldsburg, OH 43068-7300
Phone: (614) 528-4471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.1802169 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 151005 (OH)

Record details

NPI number1265973150
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW , LCDCIII
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

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