| Melvin A. Tann, Acsw, Lcsw, Llc | |
|
7750 Clayton Rd Ste 300 Saint Louis MO 63117-1341 | |
| (314) 644-4600 | |
| (314) 644-3274 |
| Full Name | Melvin A. Tann, Acsw, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7750 Clayton Rd Ste 300, Saint Louis, Missouri |
| Authorized Official Name and Position | Melvin Avon Tann (OWNER) |
| Authorized Official Contact | 3146444600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melvin A. Tann, Acsw, Lcsw, Llc 7750 Clayton Rd Ste 300 Saint Louis MO 63117-1341 Ph: (314) 644-4600 | Melvin A. Tann, Acsw, Lcsw, Llc 7750 Clayton Rd Ste 300 Saint Louis MO 63117-1341 Ph: (314) 644-4600 |
| NPI Number | 1932374592 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932374592 | NPI | - | NPPES |
| 117385 | Other | MO | ANTHEM BLUE CROSS & BLUE SHIELD |
| 5791112 | Other | MO | AETNA |
| 496893306 | Medicaid | MO | |
| 5628917 | Other | MO | CIGNA |
| 120062 | Other | MO | VALUEOPTIONS |
| R22291 | Other | MO | MERCY |
| 111089000 | Other | MO | COMMUNITY CAREPLUS |
| 196019 | Other | MO | MHNET |
| 19323745924 | Other | MO | MEDICARE ORGANIZATION |
| 270157 | Other | MO | PRINCIPAL LIFE INS. CO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW003913 (Missouri) | Primary |
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