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

Tylo Mackay, LCSW

Individual provider Social Worker · NPI 1255886297

Tylo Mackay, LCSW is a Clinical Social Worker in LA Grande, Oregon. Qualified in 2019, 7 years ago. Practices with Grande Ronde Hospital Inc, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2016
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

506 4th St
LA Grande, OR 97850-1906
Phone: (541) 663-3138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Cove Ave, La Grande, OR 97850-3906 — (541) 962-8800

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence L10823 (OR)
Social Worker Taxonomy 104100000X

Record details

NPI number1255886297
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 19, 2016
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address506 4th St, La Grande, OR 97850-1906

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Grande Ronde Hospital Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in LA Grande