Tahtanka Bear Eagle, MSW, LICSW
Clinical Social Worker · Moses Lake, WA
Practice location
840 E Plum StMoses Lake, WA 98837-1874
- Phone
- (509) 765-9239
- Fax
- (509) 633-2148
NPI record
- NPI
- 1215483821
- Entity type
- Individual (Type 1)
- Enumeration date
- September 1, 2016
- Last updated
- January 7, 2020
- Certified
- January 7, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
LW60717495 | WA |
| Mental Health Counselor | 101YM0800X |
SC60137902 | WA |
Mailing address
PO Box 1057Moses Lake, WA 98837-0160
- Phone
- (509) 765-9239
- Fax
- (509) 765-1582
Other practice locations (1)
- 21 Colville St, Nespelem, WA 99155 · (509) 634-2600
About Tahtanka Bear Eagle
Tahtanka Bear Eagle, MSW, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 840 E Plum St, Moses Lake, WA 98837-1874. The NPI number 1215483821 was assigned on September 1, 2016 and the record was last updated on January 7, 2020.
Tahtanka Bear Eagle lists 2 licenses in the registry: #LW60717495 (WA) for Clinical Social Worker; #SC60137902 (WA) for Mental Health Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tahtanka Bear Eagle, MSW, LICSW?
The NPI number is 1215483821.
What is the phone number of Tahtanka Bear Eagle?
The phone number listed for the practice location is (509) 765-9239.
Where is Tahtanka Bear Eagle located?
840 E Plum St, Moses Lake, WA 98837-1874.
What is the taxonomy code for Tahtanka Bear Eagle?
The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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