Active NPI
Tamara Ann Lukes, LCSW
- Clinical Social Worker
- Wilsonville, OR
National Provider Identifier
1922027192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4698
- Practice address
- 29345 SW Town Center Loop E
Wilsonville, OR 97070-8486 - Phone
- (971) 373-1846
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4698 | OR | Primary |
| Clinical Social Worker | 1041C0700X | LW60066907 | WA |
Addresses
Primary practice location
29345 SW Town Center Loop E
Wilsonville, OR 97070-8486
Mailing address
11738 SW Valencia LN
Wilsonville, OR 97070-7120
Phone (847) 371-1755
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241112003405 | OR | Practitioner - Clinical Social Worker | 0143220715 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rogue Psych Consultants LLC
Practice addresses (Care Compare)
835 Crater Lake Ave
Medford, OR 97504-6505
Phone (503) 453-0269
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4698 | OR | MD | Clinical Social Worker |
| LW60066907 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue Psych Consultants, LLC | Current | Accepting new patients |
Locations
835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141
601 Evergreen Rd
Woodburn, OR 97071
Phone (503) 982-0111
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1922027192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11738 SW VALENCIA LN",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970707120",
"telephone_number": "847-371-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29345 SW TOWN CENTER LOOP E",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970708486",
"telephone_number": "971-373-1846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKES",
"first_name": "TAMARA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4698",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60066907",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.