Tanner Baeder, LCSW
Social Worker, Clinical in Panama City, FL. Individual provider (NPI-1).
NPI number1366243776
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1366243776
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tanner Baeder
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2025
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW22072 | FL | Yes |
Practice location
101 Harrison AvePanama City, FL 32401-2725
Phone 863-670-0736
Mailing address
205 S Macarthur AvePanama City, FL 32401-3942
Other practice locations
205 S Macarthur Ave
Panama City, FL 32401-3942
Panama City, FL 32401-3942
Phone 863-670-0736
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