Individual provider Active NPI

Tana Bentley

  • Clinical Social Worker
  • Pasco, WA
National Provider Identifier
1164901021
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61560960 Issued in WA
Practice address
2715 Saint Andrews Loop Ste D
Pasco, WA 99301-3386
Phone
(509) 575-4084
NPI assigned
Aug 11, 2018
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 61560960 WA Primary

Addresses

Primary practice location

2715 Saint Andrews Loop Ste D
Pasco, WA 99301-3386

Mailing address

PO Box 959
Yakima, WA 98907-0959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241204003870 WA Practitioner - Clinical Social Worker 3870029572 Reassigns benefits to 1 organization
I20260512000891 OR Practitioner - Clinical Social Worker 3870029572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive HealthcareGroup PAC ID 7618875022, 32 clinicians

Practice addresses (Care Compare)

2715 Saint Andrews Loop
Suite C
Pasco, WA 99301-3386
Phone (509) 412-1051

402 S 4TH Ave
Yakima, WA 98902-3546
Phone (509) 575-4084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61560960WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Healthcare CurrentSince Oct 11, 2024 Accepting new patients
Comprehensive Healthcare CurrentSince Oct 11, 2024 Accepting new patients
Comprehensive Healthcare Past Accepting new patients

Locations

2715 Saint Andrews Loop
Ste D
Pasco, WA 99301
Phone (509) 412-1051

402 S 4th Ave
Yakima, WA 98902
Phone (509) 575-3874

Organizations & group practices 4

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": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1164901021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 SAINT ANDREWS LOOP STE D",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013386",
            "telephone_number": "509-575-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "TANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61560960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.