Provider Demographics
NPI:1245659986
Name:YOCKEY, TAWNYA (LMSW, CSWA)
Entity type:Individual
Prefix:
First Name:TAWNYA
Middle Name:
Last Name:YOCKEY
Suffix:
Gender:F
Credentials:LMSW, CSWA
Other - Prefix:
Other - First Name:TAWNYA
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, CSWA
Mailing Address - Street 1:312 OAK ST
Mailing Address - Street 2:STE 205
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-2542
Mailing Address - Country:US
Mailing Address - Phone:541-727-7787
Mailing Address - Fax:541-727-7529
Practice Address - Street 1:140 SOUTH HOLLY STREET
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501
Practice Address - Country:US
Practice Address - Phone:541-774-8200
Practice Address - Fax:541-774-7964
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA5021104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker