Tahtanka Bear Eagle, MSW, LICSW
NPI 1215483821 · Clinical Social Worker · Moses Lake, WA
Tahtanka Bear Eagle, MSW, LICSW is a Clinical Social Worker provider in Moses Lake, WA (NPI 1215483821).
Provider details
- NPI number
- 1215483821
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- SC60137902 (WA)
Specialties & taxonomies
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)
- 21 Colville StNespelem, WA 99155Phone: (509) 634-2600
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2020-01-07
- Certified
- 2020-01-07
Frequently asked questions
- What is Tahtanka Bear Eagle's NPI number?
- Tahtanka Bear Eagle's National Provider Identifier (NPI) is 1215483821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tahtanka Bear Eagle's specialty?
- Tahtanka Bear Eagle is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tahtanka Bear Eagle located?
- Tahtanka Bear Eagle's practice location on file with NPPES is 840 E Plum St, Moses Lake, WA 98837-1874.
- What is Tahtanka Bear Eagle's phone number?
- The practice phone number listed in the NPPES registry for Tahtanka Bear Eagle is (509) 765-9239.
- Is Tahtanka Bear Eagle's NPI active?
- Yes — Tahtanka Bear Eagle's NPI (1215483821) is active in the NPPES registry as of the last update on 2020-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.