Individual provider Active NPI

Tawnya Yockey, LMSW, CSWA

  • Social Worker
  • Medford, OR
National Provider Identifier
1245659986
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
A5021 Issued in OR
Practice address
140 South Holly Street
Medford, OR 97501
Phone
(541) 774-8200
Fax
(541) 774-7964
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X A5021 OR Primary

Addresses

Primary practice location

140 South Holly Street
Medford, OR 97501

Mailing address

312 Oak St
Ste 205
Central Point, OR 97502-2542
Phone (541) 727-7787

Other practice location 1

312 Oak St Ste 205
Central Point, OR 97502-2542
Phone (541) 727-7787 ext. 2

Other names 1

  • Tawnya Moore Former name

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
I20160120001080 OR Practitioner - Clinical Social Worker 4981907268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Behavioral Health Group LLCGroup PAC ID 6103235809, 4 clinicians

Practice addresses (Care Compare)

312 Oak St
Suite 205
Central Point, OR 97502-2542
Phone (541) 727-7787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A5021ORMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Jackson CurrentSince Oct 8, 2015 Accepting new patients
Oregon Behavioral Health Group LLC Social Worker CurrentSince Apr 1, 2021 Accepting new patients

Locations

312 Oak St
Ste 205
Central Point, OR 97502
Phone (541) 499-0344

140 S Holly St
Medford, OR 97501
Phone (541) 774-8200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1245659986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 OAK ST",
            "address_2": "STE 205",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022542",
            "telephone_number": "541-727-7787",
            "fax_number": "541-727-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SOUTH HOLLY STREET",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-774-8200",
            "fax_number": "541-774-7964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Oak St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975022542",
            "country_code": "US",
            "telephone_number": "541-727-7787 x2",
            "fax_number": "541-727-7529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOCKEY",
        "first_name": "TAWNYA",
        "credential": "LMSW, CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A5021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWNYA",
            "last_name": "MOORE",
            "credential": "LMSW, CSWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.