Kim Sego Tully, Lcsw, Psychotherapy Services
NPI 1811231897ActiveOrganization· Social Worker, Clinical· Elizabethtown, KY
Social Worker, Clinical in Elizabethtown, Kentucky, registered in NPPES in November 2012. The authorized official on file is Kimberly Sego Tully, LCSW, Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811231897 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2012 |
| Last updated in NPPES | May 2, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 3167 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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