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TIAWANA E DICKERSON
NPI 1003585308
Peer Specialist in Omak, WA

Active since September 09, 2021
1007 KOALA DR, OMAK, WA 98841(509) 826-6191(509) 826-3029 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiawana E Dickerson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIAWANA E DICKERSON (NPI 1003585308) is an individual peer specialist in Omak, Washington and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1003585308
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTIAWANA E DICKERSON
Location Address1007 KOALA DROmak, WA 98841-9247
Mailing Address1007 Koala DrOmak, WA 98841-9247 · (509) 826-6191 · Fax (509) 826-3029
Phone(509) 826-6191
Fax(509) 826-3029
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1003585308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1007 KOALA DR, Omak, WA 98841
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Other Names 1

Former Name (1)Tiawana Pasquale

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARIA ESCOBEDO
Counselor
1007 KOALA DR
OMAK, WA 98841
Okanogan County (509) 826-6191
SAMANTHA NELSON
Counselor
1007 KOALA DR
OMAK, WA 98841
Okanogan County (509) 826-6191
DANITA L BAEZ MSW
Social Worker
1007 KOALA DR
OMAK, WA 98841
Okanogan County (509) 826-6191
SUZANNE KELSEY
Counselor
1007 KOALA DR
OMAK, WA 98841
Okanogan County (509) 826-6191
DONALD SEARCY
Peer Specialist
1007 KOALA DR
OMAK, WA 98841
Okanogan County (509) 826-6191
PATRICIA KAY BRANDT
Counselor (Mental Health)
1007 KOALA DR
OMAK, WA 98841
Okanogan County (509) 826-4787
MARICELA VARGAS
Counselor
1007 KOALA DR
OMAK, WA 98841
Okanogan County (509) 826-6191
JASON HOLLAND
Counselor
1007 KOALA DR
OMAK, WA 98841
Okanogan County (509) 826-6191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiawana Dickerson's NPI number?

The NPI number for Tiawana Dickerson is 1003585308. It was assigned to this individual provider in the NPPES registry on September 9, 2021. The provider is also known as Tiawana Pasquale.

Where is Tiawana Dickerson located?

Tiawana Dickerson practices at 1007 Koala Dr, Omak, WA 98841. The listed phone number is (509) 826-6191.

What is Tiawana Dickerson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tiawana Dickerson was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.