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

Mrs. Mary Therese Tanner, LISW

Individual provider Clinical Social Worker · NPI 1538590641

Mrs. Mary Therese Tanner, LISW is a Clinical Social Worker in Fairfield, Ohio. Qualified in 2013, 13 years ago. Practices with Mindfully LLC, a 66-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Ohio.

Years since qualifying
13
Licensed in
IA, OH
In the registry since
2013
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone: (513) 939-0300
Fax: (513) 939-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1519 S Gilbert St, Iowa City, IA 52240-4367 — (319) 248-1005

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I1700193 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0008173 (IA)

Record details

NPI number1538590641
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedNovember 29, 2013
Last updated in NPPESSeptember 10, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mindfully Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fairfield