Richard Dean Tanksley, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2978 Waverly Way
Medford, OR 97504-5075

Phone

(505) 435-0519

NPI assigned

Jan 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality Counseling Services LLCGroup PAC ID 2062996333, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Quality Counseling Services LLC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1114639150
  Medicare reassignment Care Compare group
• Resolve Counseling LLC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1972327690

  Social Worker

  NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1477268670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2978 WAVERLY WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045075",
            "telephone_number": "505-435-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 WAVERLY WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045075",
            "telephone_number": "505-435-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKSLEY",
        "first_name": "RICHARD",
        "middle_name": "DEAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara K. Abbett, DDS, PC
• Jacob Allen Tambellini
• Andrew S Tang, D.O.
• Nikki Danielle Ying Tang, M.D.
• Rudolf Dickeinstein Tanga, RPH
• David Curtis Tara, L.AC.
• Ronald G. Tate, M.S. CCC-A
• Jed William Taucher, DMD
• Amanda Nicole Taylor, PA-C
• Amber Lee Taylor, PHARM.D.

• Social Worker in Medford, OR
• Providers in Medford, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.