Individual provider Active NPI

Cameron Tye Hamilton, LCSW

  • Clinical Social Worker
  • Grayson, KY
National Provider Identifier
1447136221
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00001077 Issued in KY
Practice address
211 S Carol Malone Blvd
Grayson, KY 41143-1355
Phone
(606) 713-0379
Fax
(606) 547-4329
NPI assigned
Aug 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 LCSW00001077 KY Primary

Addresses

Primary practice location

211 S Carol Malone Blvd
Grayson, KY 41143-1355

Mailing address

2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648

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
I20251010003754 KY Practitioner - Clinical Social Worker 6608373980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2901 Pigeon Roost Rd
Rush, KY 41168-8132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ramey-Estep Homes, Inc CurrentSince Aug 6, 2025 Accepting new patients
Ramey-Estep Homes, Inc CurrentSince Aug 6, 2025 Accepting new patients

Locations

835 Central Ave
Ashland, KY 41101
Phone (606) 547-4400

10 Town Center Blvd
Ste 2
Crestview Hills, KY 41017
Phone (859) 360-6120

211 S Carol Malone Blvd
Grayson, KY 41143
Phone (606) 713-0379

2901 Pigeon Roost Rd
Rush, KY 41168
Phone (606) 928-6648

Organizations & group practices 2

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1447136221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PIGEON ROOST RD",
            "city": "RUSH",
            "state": "KY",
            "postal_code": "411688132",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CAROL MALONE BLVD",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431355",
            "telephone_number": "606-713-0379",
            "fax_number": "606-547-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CAMERON",
        "middle_name": "TYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, KY

Sources for this page

Verify at the official NPI Registry.