Tjitske Gay Tubbergen-Maglio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2009035747 Issued in MO

Practice address

2015 S Halliburton St
Kirksville, MO 63501-4646

Phone

(573) 777-8300

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tish Gay Tubbergen Professional name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Preferred Family Healthcare, Inc

  • Community/Behavioral Health Agency
  • Kirksville, MO
  • NPI 1649474206
  Medicare reassignment Care Compare group NPD
• Preferred Family Healthcare, Inc.

  dba Clarity Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hannibal, MO
  • NPI 1306721709
  NPD

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1235468786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E WASHINGTON ST",
            "address_2": "PO BOX 360",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012951",
            "telephone_number": "660-665-7805",
            "fax_number": "660-665-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 S HALLIBURTON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014646",
            "telephone_number": "573-777-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Laharpe St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014520",
            "country_code": "US",
            "telephone_number": "660-665-1962",
            "fax_number": "660-665-3989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUBBERGEN-MAGLIO",
        "first_name": "TJITSKE",
        "middle_name": "GAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009035747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TISH",
            "last_name": "TUBBERGEN",
            "middle_name": "GAY",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mandy Lynn Tipton, PLPC
• David O Todd, D.O
• Alexis Tonkinson
• Kitara Truitt
• Truman State University (Greenwood Interprofessional Autism Center)
• Teresa Lyn Tucker, RN, WHNP-BC
• Daniel W Ulrich, MD
• Mary E. Updyke, RD, LD, CDE
• Taleka D Vanskike, LMSW
• Thomas Vanvleck, LPC

• Clinical Social Worker in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.