Individual provider Active NPI

Kathy H Tanner, LICSW

  • Clinical Social Worker
  • Cullman, AL
National Provider Identifier
1639271844
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1382C Issued in AL
Practice address
308 Graham St SW
Cullman, AL 35055-5238
Phone
(256) 297-3215
Fax
(256) 297-3180
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1382C AL
Counselor 101Y00000X 1382C AL
Clinical Social Worker 1041C0700X 1382C AL Primary

Addresses

Primary practice location

308 Graham St SW
Cullman, AL 35055-5238

Mailing address

308 Graham St SW
Cullman, AL 35055-5238
Phone (256) 297-3215

Other identifiers 1

IdentifierTypeStateIssuer
1382COtherALTHE ALABAMA STATE BOARD OF SOCIAL WORK EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20061128000326 AL Practitioner - Clinical Social Worker 7214935394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cullman Psychiatry and Wellness LLCGroup PAC ID 2860844123, 4 clinicians

Practice addresses (Care Compare)

308 Graham St SW
Cullman, AL 35055-5238
Phone 25629732154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1382CALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Psychiatry & Wellness, LLC Psychiatry CurrentSince Dec 11, 2023 Accepting new patients

Locations

308 Graham St SW
Cullman, AL 35055
Phone (256) 297-3215

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1639271844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GRAHAM ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555238",
            "telephone_number": "256-297-3215",
            "fax_number": "256-297-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 GRAHAM ST SW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555238",
            "telephone_number": "256-297-3215",
            "fax_number": "256-297-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KATHY",
        "middle_name": "H",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "1382C",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "1382C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1382C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE ALABAMA STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "1382C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.