TAMMY COUNTRYMAN LICSW
NPI 1073058400
Social Worker - Clinical in Moses Lake, WA
About Tammy Countryman Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMMY COUNTRYMAN LICSW (NPI 1073058400) is an individual clinical provider in Moses Lake, Washington, licensed in Washington (LW61412156) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redding, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tammy Countryman Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MOSES LAKE, WA 98837
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 Tammy Countryman's NPI number?
The NPI number for Tammy Countryman is 1073058400. It was assigned to this individual provider in the NPPES registry on December 20, 2016.
Where is Tammy Countryman located?
Tammy Countryman practices at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 764-6111.
What is Tammy Countryman's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Tammy Countryman enrolled in Medicare?
Yes. Tammy Countryman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Tammy Countryman accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Tammy Countryman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tammy Countryman was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Tammy Countryman, LICSW · NPI 1073058400
Clinical provider in Moses Lake, Washington. Individual provider, active in the CMS NPPES registry since December 20, 2016.
## Identity
- **NPI:** 1073058400 (Entity type: Individual)
- **Enumerated:** December 20, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW61412156 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 605 S COOLIDGE ST, Moses Lake, WA 98837-1873
- **Phone:** (509) 764-6111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073058400) · Data from the CMS NPPES public registry.