Tammy Countryman, LICSW
NPI 1073058400 · Clinical Social Worker · Moses Lake, WA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tammy Countryman, LICSW is a Clinical Social Worker provider in Moses Lake, WA (NPI 1073058400).
Provider details
- NPI number
- 1073058400
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- SC60925928 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1742 Oregon StRedding, CA 96001-1717Phone: (530) 226-7419
Registry dates
- Enumerated
- 2016-12-20
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Tammy Countryman's NPI number?
- Tammy Countryman's National Provider Identifier (NPI) is 1073058400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tammy Countryman's specialty?
- Tammy Countryman is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tammy Countryman located?
- Tammy Countryman's practice location on file with NPPES is 605 S Coolidge St, Moses Lake, WA 98837-1873.
- What is Tammy Countryman's phone number?
- The practice phone number listed in the NPPES registry for Tammy Countryman is (509) 764-6111.
- Does Tammy Countryman accept Medicare?
- Tammy Countryman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tammy Countryman's NPI active?
- Yes — Tammy Countryman's NPI (1073058400) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.