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

Reagan Shae Tanner

Individual provider Clinical Social Worker · NPI 1053284810

Reagan Shae Tanner is a Clinical Social Worker in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

913 N Carolina Ave
Statesville, NC 28677-3414
Phone: (704) 873-1114
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P021021 (NC)

Record details

NPI number1053284810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

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