Provider Demographics
NPI:1902245970
Name:NANOR, TANISHA JANINE (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:TANISHA
Middle Name:JANINE
Last Name:NANOR
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1358 ELM GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-6063
Mailing Address - Country:US
Mailing Address - Phone:301-200-3849
Mailing Address - Fax:301-200-3849
Practice Address - Street 1:1358 ELM GROVE CIR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-6063
Practice Address - Country:US
Practice Address - Phone:301-200-3849
Practice Address - Fax:301-200-3849
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-22
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD173581041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker