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Tahtanka Bear Eagle, MSW,LICSW
Clinical Social Worker in Moses Lake, Washington
NPI 1215483821

Tahtanka Bear Eagle is a Clinical Social Worker based in Moses Lake, WA and is specialized in Clinical. Tahtanka Bear Eagle practices in Moses Lake, WA and has the professional credentials of MSW,LICSW. The NPI Number for Tahtanka Bear Eagle is 1215483821 and holds a License No. SC60137902 (Washington).

The current practice location address for Tahtanka Bear Eagle is 840 E Plum St, Moses Lake, WA and can be reached out via phone at 509-765-9239 and via fax at 509-633-2148.

Location: 840 E Plum St, Moses Lake, WA, 98837-0160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215483821
Provider Name
Tahtanka Bear Eagle
Credential
MSW,LICSW
Provider Entity Type
Individual
Gender
Male
Address
840 E Plum St, Moses Lake, WA, 98837-0160
Phone Number
509-765-9239
Fax Number
509-633-2148
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1044912 05 WA
institution
Provider Business Practice Location Address Details
Address
840 E Plum St
City
Moses Lake
State
Washington
Zip
98837-1874
Phone Number
509-765-9239
Fax Number
509-633-2148
person
Provider Business Mailing Address Details
Address
840 E Plum St
City
Moses Lake
State
Washington
Zip
98837-1874
Phone Number
509-765-9239
Fax Number
509-633-2148
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LW60717495 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
SC60137902 (Washington)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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