Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tahtanka Bear Eagle, MSW, LICSW

Individual provider Mental Health Counselor · NPI 1215483821

Tahtanka Bear Eagle, MSW, LICSW is a Mental Health Counselor in Moses Lake, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

840 E Plum St
Moses Lake, WA 98837-1874
Phone: (509) 765-9239
Fax: (509) 633-2148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21 Colville St, Nespelem, WA 99155 — (509) 634-2600

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60717495 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence SC60137902 (WA)

Record details

NPI number1215483821
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020
Mailing addressPo Box 1057, Moses Lake, WA 98837-0160

Other providers in Moses Lake