Individual provider Active NPI

Sharonda Tunstull, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1437884012
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256900 Issued in KY
Practice address
5600 Greenbluff Rd Apt 202
Louisville, KY 40219-2498
Phone
(502) 716-4461
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 256900 KY Primary

Addresses

Primary practice location

5600 Greenbluff Rd Apt 202
Louisville, KY 40219-2498

Mailing address

5600 Greenbluff Rd Apt 202
Louisville, KY 40219-2498
Phone (502) 716-4461

Other identifiers 1

IdentifierTypeStateIssuer
07674388MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL s.tunstullcounseling@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220909001919 KY Practitioner - Clinical Social Worker 2466837588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Increase Counseling Services Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

1949 Goldsmith Ln
Ste 103
Louisville, KY 40218
Phone (502) 221-7892

Organizations & group practices 1

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1437884012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 GREENBLUFF RD APT 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192498",
            "telephone_number": "502-716-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 GREENBLUFF RD APT 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402192498",
            "telephone_number": "502-716-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNSTULL",
        "first_name": "SHARONDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07674388",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "s.tunstullcounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5600 Greenbluff Rd Apt 202",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402192498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.