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Tasha Willoughby

Social Worker β€’ Walla Walla, WA

Active NPI 1619454030 Individual Practitioner Female Practitioner
Practice location in NPPES

1120 W Rose St
Walla Walla, WA 993621662

Call 5095256650 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1120 W Rose St

Walla Walla, WA 993621662

Telephone 5095256650
Fax 5095222349
Organization at the Same NPPES Address or Phone
Yakima Valley Farm Workers Clinic Facility NPI 1700839727

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tasha Willoughby has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tasha Willoughby as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Walla Walla and Washington

32 active clinicians are listed under Social Worker with a practice address in Walla Walla, WA (2,265 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Walla Walla

0% of these 32 clinicians have the CMS telehealth indicator.

6.2% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-19
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES WA LW60761649

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES WA 60472656
Social Worker

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20190213000937

Enrollment State Jurisdiction

WA

PECOS Control ID

0042558298

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Bob Daniel

Pharmacist

NPI 1205136579
Dr. Sean Duffy , MD

Family Medicine

NPI 1528027901

Doctor of Medicine (M.D.)

Guy Einig , ARNP

Nurse Practitioner

NPI 1861175671

Advanced Registered Nurse Practitioner

Dr. Samantha Kofler , DDS

Dentist - General Practice

NPI 1326353673

Doctor of Dental Surgery

Barbara Korcz

Family Medicine

NPI 1366017618
Haley Krupa , RDN

Dietitian, Registered

NPI 1366214660

Registered Dietitian Nutritionist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location February 19, 2021

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662 (Tel: 5095256650)

πŸ“
Updated Business Mailing Address February 19, 2021

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662 (Tel: 5095256650)

πŸ‘€
Provider Name / Credentials Updated February 19, 2021

Recorded as TASHA WILLOUGHBY

πŸ“
Updated Practice Location February 07, 2020

Registered at 1012 SOUTH THIRD STREET, DAYTON, WA 99328 (Tel: 5095296036)

πŸ“
Updated Business Mailing Address February 07, 2020

Registered at 1012 SOUTH THIRD STREET, DAYTON, WA 99328 (Tel: 5096907636)

πŸ‘€
Provider Name / Credentials Updated February 07, 2020

Recorded as TASHA WILLOUGHBY, LICSW

βœ…
NPI Profile Active July 27, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 27, 2018

Registered at 919 S 2ND AVE, WALLA WALLA, WA 993624114 (Tel: 5095296036)

πŸ“
Business Mailing Address (Initial Record) July 27, 2018

Registered at 122 WINNEBAGO ST, WALLA WALLA, WA 993624452 (Tel: 5096907636)

πŸ‘€
Provider Name / Credentials (Initial Record) July 27, 2018

Recorded as TASHA WILLOUGHBY, LICSW, CDP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2018

Counselor (license number reported to NPPES: WA 60472656)

🟒
Initial NPI Registration & Enumeration July 27, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619454030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2018
Last Update: February 19, 2021
Sole Proprietor: No

Mailing Address

1120 W Rose St

Walla Walla, WA 993621662

Phone: 5095256650

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.