TYLO MACKAY LCSW
NPI 1255886297
Social Worker in La Grande, OR

Q: What is Tylo Mackay's NPI number?

The NPI number for Tylo Mackay is 1255886297. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Q: What is Tylo Mackay's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tylo Mackay was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 19, 2016PECOS EnrolledAccepts Medicare Assignment

506 4TH ST, LA GRANDE, OR 97850(541) 663-3138 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 19, 2016 (2 updates tracked since 2016).

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About Tylo Mackay Lcsw NPPES

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

TYLO MACKAY LCSW (NPI 1255886297) is an individual social worker in La Grande, Oregon, licensed in Oregon (L10823) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255886297

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTYLO MACKAYCredential: LCSW

Location Address506 4TH STLa Grande, OR 97850-1906

Mailing Address506 4th StLa Grande, OR 97850-1906 · (541) 663-3138

Phone(541) 663-3138

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 19, 2016

Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1255886297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OR · L10823

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

506 4TH ST, La Grande, OR 97850

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Tylo Mackay Lcsw 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.

PECOS PAC ID4789069550

PECOS Enrollment IDI20220914002070

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

BRADLEY JACK TISHMAN

Family Medicine