TASHA L WILLOUGHBY (NPI# 1619454030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619454030 |
| Entity Type | Individual |
| Full Name | TASHA L WILLOUGHBY |
| Credential | LICSW |
| Practice Address |
1012 South Third Street Dayton WA 99328 |
| Practice Telephone | 5095296036 |
| Practice Fax Number | 5095296038 |
| Mailing Telephone | 5096907636 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
60472656 | WA | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184695835 | Tasha N Willoughby | Dentist | 2557 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2006-01-31 |
| 1144843780 | Tasha Tennell Willoughby | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2020-05-18 |
| Street Address |
1012 SOUTH THIRD STREET |
| City | DAYTON |
| State | WA |
| Zip Code | 99328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128911 | Columbia County Hospital District | Clinic/Center | 1012 South Third Street, Dayton, WA 99328 | 2005-07-14 |
| 1821500299 | Bruce Wayne Pollard | Social Worker | 1012 South Third Street, Dayton, WA 99328 | 2017-10-25 |
| 1811307382 | Kimberly Greene | Speech-Language Pathologist | 1012 South Third Street, Dayton, WA 99328 | 2014-05-05 |
| 1689841892 | Rebekah R Gustin | Occupational Therapist | 1012 South Third Street, Dayton, WA 99328 | 2008-05-15 |
| 1932286077 | Columbia County Hospital District | Medicare Defined Swing Bed Unit | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| 1518044551 | Columbia County Hospital District | Clinic/Center | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| 1659458610 | Columbia County Hospital District | Skilled Nursing Facility | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| 1023193828 | Kim Irene Emery | Physician Assistant | 1012 South Third Street, Dayton, WA 99328 | 2006-10-27 |
| 1093732182 | Kurt E Frauenpreis | Family Medicine | 1012 South Third Street, Dayton, WA 99328 | 2006-07-16 |
| 1184657876 | Lewis D Neace | Emergency Medicine | 1012 South Third Street, Dayton, WA 99328 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487736153 | County of Columbia | Public Health or Welfare | 1002 S 3rd Street, Ste 2, Dayton, WA 99328 | 2006-10-20 |
| 1265441158 | Normond J Passmore | Dentist | 270 E Main St, Dayton, WA 99328 | 2006-08-07 |
| 1043298102 | Columbia County Fire Dist 3 | Ambulance | 206 W Main St, #2, Dayton, WA 99328-1230 | 2006-01-08 |
| 1942363106 | Lois Charlene Mills | Massage Therapist | 109 N. Second Street, Dayton, WA 99328-1308 | 2006-12-19 |
| 1487633863 | Kathleen A Casseday | Nurse Practitioner | 112 N 2nd St, Dayton, WA 99328-1309 | 2006-01-12 |
| 1922040526 | Blue Mountain Counseling of Columbia County | Clinic/Center | 221 E Washington Ave, Dayton, WA 99328-1317 | 2006-06-11 |
| 1740808369 | Rylie Dixon | Counselor | 221 E Washington Ave, Dayton, WA 99328-1317 | 2020-07-09 |
| 1255961447 | Michelle Fulbright | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2020-01-16 |
| 1164088464 | Teresa Rae | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2019-05-13 |
| 1285100305 | Margaret Gutierrez | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2018-10-16 |
| Find all providers in zip 99328 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239121 | Sara Ann Hillix | Social Worker | 8910 Treeland Ln, Dayton, OH 45458-2703 | 2020-09-15 |
| 1568081115 | Lacey Danae Martin | Social Worker | 124 W Apple St, Dayton, OH 45402-2617 | 2020-04-14 |
| 1609426840 | Patrice Marie Sullivan | Social Worker | 4100 W 3rd St Ste 241, Dayton, OH 45428-9000 | 2019-09-19 |
| 1275005340 | Ria D. Megnin | Social Worker | 2104 King Ave, Dayton, OH 45420-2453 | 2018-12-29 |
| 1487130035 | Monica Summers | Social Worker | 6444 Woodsedge Ct, Dayton, OH 45449-3417 | 2018-07-17 |
| 1710471461 | Renee Katherine Blossom | Social Worker | 2694 Latonia Ave, Dayton, OH 45439-2923 | 2018-06-17 |
| 1720571748 | Freshana S Withrow-harris | Social Worker | 8038 Bellcreek Ln, Dayton, OH 45426-4732 | 2018-06-13 |
| 1689165466 | Andrea Lee Sierra | Social Worker | 7130 Robert Ulrich Ave, Dayton, OH 45415-1411 | 2018-05-28 |
| 1265922942 | Kara Kathleen Pickrell | Social Worker | 1129 Miamisburg Centerville Rd Ste 201, Dayton, OH 45449-4052 | 2018-05-17 |
| 1851803332 | Dola Mae Landis | Social Worker | 8145 N Main St, Dayton, OH 45415-1703 | 2017-10-24 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.