Individual provider Active NPI

Tamara T Cissell, MSW, CDP

  • Clinical Social Worker
  • Stevenson, WA
National Provider Identifier
1346546918
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60280965 Issued in WA
Practice address
710 SW Rock Creek Dr
Stevenson, WA 98648-4418
Phone
(509) 427-3850
Fax
(509) 427-0188
NPI assigned
Jan 31, 2011
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60199613 WA
Clinical Social Worker 1041C0700X LW60280965 WA Primary

Addresses

Primary practice location

710 SW Rock Creek Dr
Stevenson, WA 98648-4418

Mailing address

PO Box 1492
Stevenson, WA 98648-1492
Phone (509) 427-3850

Other names 1

  • Ms. Tamara T Wehrer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120913000039 WA Practitioner - Clinical Social Worker 0749438943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of SkamaniaGroup PAC ID 2769529817, 3 clinicians

Practice addresses (Care Compare)

710 SW Rock Creek Dr
Stevenson, WA 98648-4418
Phone (509) 427-3850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP60199613WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Skamania CurrentSince Jun 30, 2012 Accepting new patients

Organizations & group practices 1

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1346546918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1492",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986481492",
            "telephone_number": "509-427-3850",
            "fax_number": "509-427-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SW ROCK CREEK DR",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986484418",
            "telephone_number": "509-427-3850",
            "fax_number": "509-427-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISSELL",
        "first_name": "TAMARA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MSW, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60199613",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60280965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "WEHRER",
            "middle_name": "T",
            "prefix": "MS.",
            "credential": "MSW, CDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stevenson, WA

Sources for this page

Verify at the official NPI Registry.