Active NPI
Tammy Lynn Thrasher, CSW
- Clinical Social Worker
- Campbellsville, KY
National Provider Identifier
1033858550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 254999
- Practice address
- 830 W Broadway St
Campbellsville, KY 42718-2701 - Phone
- (833) 510-4357
- Fax
- (866) 459-6532
- NPI assigned
- Jun 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 254999 | KY | Primary |
Addresses
Primary practice location
830 W Broadway St
Campbellsville, KY 42718-2701
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254999 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1033858550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W BROADWAY ST",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427182701",
"telephone_number": "833-510-4357",
"fax_number": "866-459-6532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRASHER",
"first_name": "TAMMY",
"middle_name": "LYNN",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "254999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.