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

Tanya Lane Gustafson, LISW-S

Individual provider Clinical Social Worker · NPI 1073441234

Tanya Lane Gustafson, LISW-S is a Clinical Social Worker in Elyria, Ohio. Practices as a sole proprietor. Licensed in Michigan and Ohio.

Licensed in
MI, OH
In the registry since
2026
Specialties on file
2

Practice location Address checks out

356 Brittany Ln
Elyria, OH 44035-4169
Phone: (615) 294-1376
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 I.2002301 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801108663 (MI)

Record details

NPI number1073441234
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedMay 9, 2026
Last updated in NPPESMay 9, 2026
Certification dateMay 9, 2026

Other providers in Elyria