Individual provider Active NPI

Tammy Sutton, LCSW

  • Clinical Social Worker
  • Henderson, KY
National Provider Identifier
1689062127
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5114 Issued in KY
Practice address
230 2ND St
Suite 406
Henderson, KY 42420-3172
Phone
(270) 826-8761
Fax
(270) 826-8737
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

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 5114 KY Primary

Addresses

Primary practice location

230 2ND St
Suite 406
Henderson, KY 42420-3172

Mailing address

9142 Hartwell Dr
Evansville, IN 47725-7697
Phone (812) 568-9306

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
I20201209001301 KY Practitioner - Clinical Social Worker 0749692184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

230 2ND St
Suite 406
Henderson, KY 42420-3172

230 2ND St
Suite 406
Henderson, KY 42420-3174
Phone (270) 854-3132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stability Counseling and Associates LLC Clinical CurrentSince Dec 2, 2020 Accepting new patients
Lighthouse Counseling Services, Inc. Clinical PastSince Dec 19, 2012 Accepting new patients

Locations

230 2nd St
Ste 406
Henderson, KY 42420
Phone (270) 826-8761

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1689062127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9142 HARTWELL DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257697",
            "telephone_number": "812-568-9306",
            "fax_number": "270-826-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 2ND ST",
            "address_2": "SUITE 406",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203172",
            "telephone_number": "270-826-8761",
            "fax_number": "270-826-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "TAMMY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.