TAHTANKA BEAR EAGLE (MSW, LICSW) – Clinical Social Worker, NPI 1215483821

TAHTANKA BEAR EAGLE (MSW, LICSW) is a healthcare provider. based in Moses lake, Washington. specializing in Clinical Social Worker. They hold the professional credentials MSW, LICSW. They hold a License No. SC60137902 (WA). The NPI Number for TAHTANKA BEAR EAGLE (MSW, LICSW) is 1215483821

Main info

Male
Name
TAHTANKA BEAR EAGLE (MSW, LICSW)
NPI
1215483821
Phone
(509) 765-9239
Address
PO BOX 1057
Enumeration Date
1 September 2016
Last Update Date
7 January 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for TAHTANKA BEAR EAGLE (MSW, LICSW)

  • PO BOX 1057

    MOSES LAKE, WA 988370160

    Phone: (509) 765-9239

    Fax: (509) 765-1582

    Type: Mailing

  • 21 Colville St

    Nespelem, WA 99155

    Phone: (509) 634-2600

    Type: Location

  • 840, East Plum Street, Moses Lake, Grant County, Washington, 98837, United States

    MOSES LAKE, WA 988371874

    Phone: (509) 765-9239

    Fax: (509) 633-2148

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 98837)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for TAHTANKA BEAR EAGLE (MSW, LICSW) in U.S. healthcare records?
The official identifier for TAHTANKA BEAR EAGLE (MSW, LICSW) is NPI 1215483821.
Is TAHTANKA BEAR EAGLE (MSW, LICSW) still an active registrant?
TAHTANKA BEAR EAGLE (MSW, LICSW) carries an active NPI according to the public dataset.
What area of care is associated with TAHTANKA BEAR EAGLE (MSW, LICSW)?
TAHTANKA BEAR EAGLE (MSW, LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is TAHTANKA BEAR EAGLE (MSW, LICSW) associated with Moses Lake?
Public fields place TAHTANKA BEAR EAGLE (MSW, LICSW) around Moses Lake, Washington. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

Similar Providers

LEE T LOUDON (LICSW)

Clinical Social Worker
840, East Plum Street, Moses Lake, Grant County, Washington, 98837, United States
NPI: 1760563951

KIERSTIN T TATE (LCSW)

Clinical Social Worker
820 N CHELAN AVE
NPI: 1912020827

NICHOLE L NOLAN (LICSW, LISW-CP)

Clinical Social Worker
172 Olde Towne Way Unit 4
NPI: 1457790750

ERIKA CECILIA RITCHIE

Clinical Social Worker
1515 E Columbia St
NPI: 1790113652

CECILIA GARRETT (MSW, LSWAIC)

Clinical Social Worker
1800 S CLOVER DR STE 2
NPI: 1528465481

DARRAY BECKER-SMOGER (LICSW)

Clinical Social Worker
38156 SKYVIEW CT N
NPI: 1891167359

SONIA MCKEE (LICSW, SUDP)

Clinical Social Worker
131 W INGLEWOOD AVE
NPI: 1760934319
500, North Morain Street, Tri-Cities, Benton County, Washington, 99336, United States
NPI: 1073058400

MR. BRIAN CRAIG OSBORNE (MSW)

Clinical Social Worker
1032 B W CASCADE
NPI: 1295263754