Individual provider Active NPI

Tammy R Kaempfe, LCSW

  • Clinical Social Worker
  • Poplar Bluff, MO
National Provider Identifier
1194707240
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2001000520 Issued in MO
Practice address
2725 N Westwood Blvd Ste 5
Poplar Bluff, MO 63901-2367
Phone
(573) 872-4671
Fax
(573) 872-4675
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2001000520 MO Primary

Addresses

Primary practice location

2725 N Westwood Blvd Ste 5
Poplar Bluff, MO 63901-2367

Mailing address

207 S 5TH St
P O Box 1094
Poplar Bluff, MO 63901-7310
Phone (573) 778-0382

Other names 1

  • Ms. Tammy R Inman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618000413 MO Practitioner - Clinical Social Worker 3678558376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Family Medical Clinic LLCGroup PAC ID 6002263449, 7 clinicians

Practice addresses (Care Compare)

2725 N Westwood Blvd
Suite 17
Poplar Bluff, MO 63901-2367
Phone (573) 686-5510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001000520MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tinsley Home Medical Services, LLC Clinical CurrentSince Mar 15, 2023 Accepting new patients
New Medico Healthcare Corporation Clinical Past Accepting new patients

Locations

2725 N Westwood Blvd
Ste 5
Poplar Bluff, MO 63901
Phone (573) 872-4671

2725 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-5510

2725 N Westwood Blvd
Ste 17
Poplar Bluff, MO 63901
Phone (573) 686-5510

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1194707240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S 5TH ST",
            "address_2": "P O BOX 1094",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639017310",
            "telephone_number": "573-778-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD STE 5",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012367",
            "telephone_number": "573-872-4671",
            "fax_number": "573-872-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEMPFE",
        "first_name": "TAMMY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001000520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "INMAN",
            "middle_name": "R",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.