TAMMY FREESE (LICSW) – Counselor, NPI 1073058400

TAMMY FREESE (LICSW) is a healthcare provider. based in Kennewick, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. SC60925928 (WA). The NPI Number for TAMMY FREESE (LICSW) is 1073058400

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY FREESE (LICSW)
NPI
1073058400
Phone
(509) 783-0500
Address
500 N MORAIN ST
Enumeration Date
20 December 2016
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097876423
Graduation Year
2018 (8 years ago)
PAC ID
8527426543
Group Practice PAC ID
1254235138
Professional Enrollment ID
I20230623001898
Address ID
WA988481695QU1450XSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:9State licenses:3Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

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Provider Addresses for TAMMY FREESE (LICSW)

  • 500, North Morain Street, Tri-Cities, Benton County, Washington, 99336, United States

    SUITE 1250

    KENNEWICK, WA 993362950

    Phone: (509) 783-0500

    Type: Location

  • 1742 OREGON ST

    REDDING, CA 960011717

    Phone: (530) 226-7419

    Type: Mailing

  • 605 S COOLIDGE ST

    MOSES LAKE, WA 988371873

    Phone: (509) 764-6111

    Type: Location

  • 1742 Oregon St

    Redding, CA 960011717

    Phone: (530) 226-7419

    Type: Location

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: 2023-06-23

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
I20230623001898IClinical Social WorkerWATBD

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 99336)

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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: 1254235138View full group profile
NameSpecialtyState
Physician AssistantWA
Diagnostic RadiologyMT
Family PracticeWA
Obstetrics/Gynecology, Family PracticeWA
Nurse PractitionerWA
Internal Medicine, HospitalistWA
Nurse PractitionerWA
Diagnostic RadiologyWA
Obstetrics/Gynecology, Family PracticeWA
Physician AssistantWA

Reviews

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Frequently asked questions

Can I cross-check TAMMY FREESE (LICSW) using NPI 1073058400?
NPI 1073058400 belongs to TAMMY FREESE (LICSW); compare other details if you need extra assurance.
Is there an active status for TAMMY FREESE (LICSW)?
For scheduling context, TAMMY FREESE (LICSW) is shown as active in the registry.
What area of care is associated with TAMMY FREESE (LICSW)?
TAMMY FREESE (LICSW)'s record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
Where in Washington is TAMMY FREESE (LICSW) registered?
Use Kennewick, Washington as the headline location for TAMMY FREESE (LICSW) here.
When was this NPI issued?
Enumeration for TAMMY FREESE (LICSW) is noted as December 20, 2016 where the registry provides it.

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