Individual
MR. MELVIN AVON TANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW, LCSW
Contact information
Practice address
7750 CLAYTON RD STE 300, SAINT LOUIS, MO 63117-1341
(314) 644-4600
(314) 644-3274
Mailing address
7750 CLAYTON RD STE 300, SAINT LOUIS, MO 63117-1341
(314) 644-4600
(314) 644-3274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW003913
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193237459
MEDICARE ORGANIZATION NPI
MO
05
—
496893306
—
MO
Enumeration date
08/08/2006
Last updated
03/19/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us