Individual provider Active NPI

Pamela Tungate, LCSW

  • Clinical Social Worker
  • Campbellsville, KY
National Provider Identifier
1528938644
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00001103 Issued in KY
Practice address
34 Trotter LN
Campbellsville, KY 42718-8959
Phone
(270) 789-8919
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 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 LCSW00001103 KY Primary

Addresses

Primary practice location

34 Trotter LN
Campbellsville, KY 42718-8959

Mailing address

34 Trotter LN
Campbellsville, KY 42718-8959
Phone (270) 789-8919

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
I20260123001114 KY Practitioner - Clinical Social Worker 6204313943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

34 Trotter LN
Campbellsville, KY 42718-8959

725 Cramer Ave
Lexington, KY 40502-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW00001103KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integopsych Diagnostics and Treatment Clinical CurrentSince Dec 5, 2025 Accepting new patients

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": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1528938644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 TROTTER LN",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188959",
            "telephone_number": "270-789-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 TROTTER LN",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188959",
            "telephone_number": "270-789-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNGATE",
        "first_name": "PAMELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.