Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAHTANKA BEAR EAGLE, MSW, LICSW
ActiveTAHTANKA BEAR EAGLE, MSW, LICSW is a Clinical Social Worker healthcare provider located in MOSES LAKE, Washington. NPI 1215483821 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MOSES LAKE, WA
Registration Details
- NPI Number
- 1215483821
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2016 (9.9217617208385 yrs)
- Last Updated
- Jan 7, 2020
- Licenses
-
SC60137902 (WA)LW60717495 (WA)
Practice Information
- Address
-
840 E PLUM STMOSES LAKE, WA, 988371874Browse WA providers · Browse ZIP 98837
- Phone
- 5097659239
- Fax
- 5096332148
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in MOSES LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| NICHOLE L NOLAN | LICSW, LISW-CP | 1457790750 |
| CECILIA GARRETT | MSW, LSWAIC | 1528465481 |
| SONIA MCKEE | LICSW, SUDP | 1760934319 |
| TAMMY FREESE | LICSW | 1073058400 |
| MR. BRIAN CRAIG OSBORNE | MSW | 1295263754 |
| NICOLE PRENTICE | LSWAIC | 1821624438 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.