MS. TAMI RENNELS WADDELL (LCSW) – Clinical Social Worker, NPI 1710219530

MS. TAMI RENNELS WADDELL (LCSW) is a healthcare provider. based in Tillamook, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 32560 (TX). The NPI Number for MS. TAMI RENNELS WADDELL (LCSW) is 1710219530

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. TAMI RENNELS WADDELL (LCSW)
NPI
1710219530
Phone
(503) 842-8201
Address
906 MAIN AVE
Enumeration Date
3 February 2010
Last Update Date
8 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
50384282010
Graduation Year
1999 (27 years ago)
PAC ID
0143358317
Group Practice PAC ID
3375443864
Professional Enrollment ID
I20160429000338
Address ID
OR971413816TI906XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

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Provider Addresses for MS. TAMI RENNELS WADDELL (LCSW)

  • Main Avenue, Tillamook, Tillamook County, Oregon, 97141, United States

    TILLAMOOK, OR 971413816

    Phone: (503) 842-8201

    Fax: (503) 815-1870

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160429000338IClinical Social WorkerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375443864View full group profile

Reviews

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Frequently asked questions

How do payers reference MS. TAMI RENNELS WADDELL (LCSW)?
For MS. TAMI RENNELS WADDELL (LCSW), use NPI 1710219530 as the unique 10-digit identifier.
Is MS. TAMI RENNELS WADDELL (LCSW) still an active registrant?
MS. TAMI RENNELS WADDELL (LCSW) carries an active NPI according to the public dataset.
How would a patient describe MS. TAMI RENNELS WADDELL (LCSW)'s focus?
For MS. TAMI RENNELS WADDELL (LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. TAMI RENNELS WADDELL (LCSW) located near Tillamook?
MS. TAMI RENNELS WADDELL (LCSW) currently maps to Tillamook, Oregon in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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