Organization
MELVIN A. TANN, ACSW, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN AVON TANN ACSW, LCSW (OWNER)
(314) 644-4600
Entity
Organization
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
—
111089000
COMMUNITY CAREPLUS
MO
01
—
117385
ANTHEM BLUE CROSS & BLUE SHIELD
MO
01
—
120062
VALUEOPTIONS
MO
01
—
19323745924
MEDICARE ORGANIZATION
MO
01
—
196019
MHNET
MO
01
—
270157
PRINCIPAL LIFE INS. CO.
MO
05
—
496893306
—
MO
01
—
5628917
CIGNA
MO
01
—
5791112
AETNA
MO
01
—
R22291
MERCY
MO
Enumeration date
04/24/2008
Last updated
04/17/2012
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