Individual provider Active NPI

Tamara Ann Lukes, LCSW

  • Clinical Social Worker
  • Wilsonville, OR
National Provider Identifier
1922027192
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4698 Issued in OR
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

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 1850632415, 19 clinicians

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

LicenseStateTypeSpecialty
L4698ORMDClinical Social Worker
LW60066907WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Psych Consultants, LLC CurrentSince Nov 1, 2024 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

Verify at the official NPI Registry.