Individual provider Active NPI

Tamara Kay Hubbard, LCSW

  • Clinical Social Worker
  • Crestwood, KY
National Provider Identifier
1619129681
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KY-1940 Issued in KY
Practice address
6452 W Highway 146
Crestwood, KY 40014-9575
Phone
(023) 383-6535
NPI assigned
Oct 21, 2008
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 KY-1940 KY Primary

Addresses

Primary practice location

6452 W Highway 146
Crestwood, KY 40014-9575

Mailing address

6452 W Highway 146
Crestwood, KY 40014-9575
Phone (502) 338-3653

Other identifiers 2

IdentifierTypeStateIssuer
KY-1940OtherKYSTATE LICENSE
12385425OtherKYCAQH

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
I20120820000667 KY Practitioner - Clinical Social Worker 5092962480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6452 W Hwy 146
Crestwood, KY 40014-9575
Phone (502) 338-3653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY-1940KYMDClinical Social Worker
1940KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Be the Anchor Counseling, LLC Clinical CurrentSince Jun 1, 2019 Accepting new patients
Louisville Behavioral Health Systems PLLC Clinical CurrentSince Jul 1, 2012 Accepting new patients
Dr Charles Bensenhaver III LLC CurrentSince Jan 31, 2023 Accepting new patients

Locations

6452 W Highway 146
Crestwood, KY 40014
Phone (502) 338-3653

3430 Newburg Rd
Ste 210
Louisville, KY 40218
Phone (502) 225-4900

9407 Westport Rd
Ste 110
Louisville, KY 40241
Phone (502) 326-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1619129681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 W HIGHWAY 146",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149575",
            "telephone_number": "502-338-3653",
            "fax_number": "502-540-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 W HIGHWAY 146",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149575",
            "telephone_number": "023-383-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "TAMARA",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-06-19",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY-1940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "KY-1940",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12385425",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

Verify at the official NPI Registry.