KATHY H TANNER (LICSW) – Clinical Social Worker, NPI 1639271844

KATHY H TANNER (LICSW) is a healthcare provider. based in Cullman, Alabama. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1382C (AL). The NPI Number for KATHY H TANNER (LICSW) is 1639271844

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
KATHY H TANNER (LICSW)
NPI
1639271844
Phone
(256) 739-0801
Address
503 CLARK ST NE
Enumeration Date
1 September 2006
Last Update Date
23 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
25629732154
Graduation Year
1995 (31 years ago)
PAC ID
7214935394
Group Practice PAC ID
2860844123
Professional Enrollment ID
I20061128000326
Address ID
AL350555238CU308XXSWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

390 CLINICAL SOCIAL WORKER in AL

Provider Addresses for KATHY H TANNER (LICSW)

  • Clark Street Northeast, Cullman, Cullman County, Alabama, 35055, United States

    CULLMAN, AL 350551921

    Phone: (256) 739-0801

    Fax: (256) 739-0027

    Type: Mailing

  • 409 Second Ave NW

    Cullman, AL 35055

    Phone: (256) 739-4910

    Fax: (256) 739-9455

    Type: Location

  • 101 2nd Ave SE

    Cullman, AL 350553511

    Phone: (256) 739-4910

    Fax: (256) 739-9455

    Type: Location

  • 2nd Avenue Southeast, Cullman, Cullman County, Alabama, 35055, United States

    CULLMAN, AL 350553511

    Phone: (256) 739-4910

    Fax: (256) 739-9455

    Type: Location

  • 308 GRAHAM ST SW

    CULLMAN, AL 350555238

    Phone: (256) 297-3215

    Fax: (256) 297-3180

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061128000326IClinical Social WorkerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour13930$0
View full utilization report →

Insurance plans in this area (ZIP 35055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860844123View full group profile
NameSpecialtyState
Clinical Social WorkerAL
Nurse PractitionerAL
P S Y C H I A T R YAL

Reviews

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Frequently asked questions

What NPI should I save for KATHY H TANNER (LICSW)?
Save NPI 1639271844 if you need a stable reference for KATHY H TANNER (LICSW).
Is KATHY H TANNER (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KATHY H TANNER (LICSW) treat or focus on?
Patients typically see KATHY H TANNER (LICSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place KATHY H TANNER (LICSW)?
The snapshot lists Cullman, Alabama for KATHY H TANNER (LICSW); download NPPES for the complete set.
Is KATHY H TANNER (LICSW) a real provider?
This page reflects official NPPES data for NPI 1639271844. Always confirm identity and privileges with the practice and licensing boards.

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