Active NPI
Tami Sue Sallade, LCSW
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1922089309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2053
- Practice address
- 12700 Shelbyville Rd
Suite 302
Louisville, KY 40243-1576 - Phone
- (502) 254-8880
- Fax
- (502) 633-3634
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2053 | KY | Primary |
Addresses
Primary practice location
12700 Shelbyville Rd
Suite 302
Louisville, KY 40243-1576
Mailing address
3028 Rosedale Blvd
Louisville, KY 40220-1810
Phone (502) 454-7329
Other names 1
- Ms. Tami Sue Spetnagel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2053 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Counseling Associates, PSC | Past | Accepting new patients | |
| Shelby Counseling Associates, PSC | Past | Accepting new patients |
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.
-
- Professional Counselor
- Shelbyville, KY
- NPI 1568659498
-
- Professional Counselor
- Louisville, KY
- NPI 1992991855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922089309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 ROSEDALE BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201810",
"telephone_number": "502-454-7329",
"fax_number": "502-633-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 SHELBYVILLE RD",
"address_2": "SUITE 302",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431576",
"telephone_number": "502-254-8880",
"fax_number": "502-633-3634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLADE",
"first_name": "TAMI",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "2053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMI",
"last_name": "SPETNAGEL",
"middle_name": "SUE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.