Thomas C Kurtz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255294 Issued in KY

Practice address

599 Rogersville Rd
Radcliff, KY 40160-9321

Phone

(502) 262-2887

NPI assigned

Oct 21, 2019

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PPL Therapeutic Services PLLC

  • Professional Counselor
  • Crestwood, KY
  • NPI 1104323252

  Clinical

  Medicare reassignment NPD
• United Healthcare of Hardin, Inc

  dba Lincoln Trail Behavioral Health System

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1851500466
  Medicare reassignment NPD
• Ohio River Health Center Corporation

  dba Ohio River Health Center

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
  • NPI 1598481376

  Multi-Specialty

  NPD (past)
• Pinnacle Inpatient Medical Services, PLLC

  • Family Medicine Physician
  • Radcliff, KY
  • NPI 1386148856

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1912540105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 NORTH DIXIE SUITE B100",
            "address_2": "B100 SUITE",
            "city": "ELIZABTHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-900-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 ROGERSVILLE RD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401609321",
            "telephone_number": "502-262-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KYCSW253369",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100648780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayshawn Jasmine Jones
• Jetta Kaune, LMT
• Kentucky DME Supplies LLC
• Andew James King
• Knox Physical Therapy Specialists PLLC (Knox PTS)
• Amanda Lacefield, LPCC-S
• Michael Karl Le Clair, LDO
• Le Clair's Optical, PSC
• Joyce Letson
• Charles Lewis

• Clinical Social Worker in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.