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KIM SEGO TULLY, LCSW, PSYCHOTHERAPY SERVICES
NPI 1811231897
Social Worker - Clinical in Elizabethtown, KY

Active since November 15, 2012
240 W DIXIE AVE, SUITE 5-B, ELIZABETHTOWN, KY 42701(270) 307-3672 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kim Sego Tully, Lcsw, Psychotherapy Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM SEGO TULLY, LCSW, PSYCHOTHERAPY SERVICES (NPI 1811231897) is a healthcare organization registered as a clinical in Elizabethtown, Kentucky and active in the NPI registry since November 2012. The organization lists Kimberly Sego Tully, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1811231897
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKIM SEGO TULLY, LCSW, PSYCHOTHERAPY SERVICES
Location Address240 W DIXIE AVE, SUITE 5-BElizabethtown, KY 42701-1586
Mailing Address589 Rue La GrandeElizabethtown, KY 42701-3135
Phone(270) 307-3672
Organization SubpartNo
Authorized OfficialKimberly Sego TullySole Member · (270) 307-3672
Enumeration DateNovember 15, 2012
Last NPPES UpdateMay 2, 2017
✔ NPI 1811231897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 3167
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
240 W DIXIE AVE, Elizabethtown, KY 42701
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Other Identifiers 1

Medicare PINK047852KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Sego Tully, Lcsw, Psychotherapy Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kim Sego Tully, Lcsw, Psychotherapy Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Becker, LCSW
Clinical Social Worker
NPI 1760420459
1002 N MULBERRY ST STE 100
Elizabethtown, KY 42701
(207) 307-3276
✔ PECOS✔ Accepts Medicare1.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Sego Tully, Lcsw, Psychotherapy Services's NPI number?

The NPI number for Kim Sego Tully, Lcsw, Psychotherapy Services is 1811231897. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Kim Sego Tully, Lcsw, Psychotherapy Services located?

Kim Sego Tully, Lcsw, Psychotherapy Services is located at 240 W Dixie Ave Suite 5-B, Elizabethtown, KY 42701. The listed phone number is (270) 307-3672.

What is Kim Sego Tully, Lcsw, Psychotherapy Services's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kim Sego Tully, Lcsw, Psychotherapy Services enrolled in Medicare?

Yes. Kim Sego Tully, Lcsw, Psychotherapy Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kim Sego Tully, Lcsw, Psychotherapy Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kim Sego Tully, Lcsw, Psychotherapy Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kim Sego Tully, Lcsw, Psychotherapy Services was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.