Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kendra Colacchio Tullos, LCSW

Individual provider Clinical Social Worker · NPI 1134770837

Kendra Colacchio Tullos, LCSW is a Clinical Social Worker in Eugene, Oregon. Qualified in 2021, 5 years ago. Practices with Center for Family Development, Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1258 High St
Eugene, OR 97401-3238
Phone: (541) 342-8437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L11478 (OR)
Counselor Taxonomy 101Y00000X

Record details

NPI number1134770837
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Center For Family Development, Inc. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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