Individual provider Active NPI

Tanya R Thompson, LCSW

  • Clinical Social Worker
  • Corvallis, OR
National Provider Identifier
1043306772
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3150 Issued in OR
Practice address
2211 NW Professional Dr Ste 101
Corvallis, OR 97330-3891
Phone
(541) 257-5500
Fax
(541) 286-4140
NPI assigned
Oct 4, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L3150 OR Primary

Addresses

Primary practice location

2211 NW Professional Dr Ste 101
Corvallis, OR 97330-3891

Mailing address

PO Box 100
Albany, OR 97321-0031
Phone (541) 967-3866

Other practice location 1

445 3rd Ave SW
Albany, OR 97321-2272
Phone (541) 967-3866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000886 OR Practitioner - Clinical Social Worker 5991963829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2211 NW Professional Dr
Suite 101
Corvallis, OR 97330-3891
Phone (541) 829-5450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Clinical CurrentSince May 4, 2026 Accepting new patients
Western Psychological and Counseling Services LLC PastSince May 4, 2026 Accepting new patients

Locations

2211 NW Professional Dr
Ste 101
Corvallis, OR 97330
Phone (541) 257-5500

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1043306772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210031",
            "telephone_number": "541-967-3866",
            "fax_number": "541-928-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NW PROFESSIONAL DR STE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303891",
            "telephone_number": "541-257-5500",
            "fax_number": "541-286-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 3rd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212272",
            "country_code": "US",
            "telephone_number": "541-967-3866",
            "fax_number": "541-928-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TANYA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.