MEDICARE: TAMMY KINSON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	62051	TX
2	1041C0700X	Clinical Social Worker	SWB-2024-1302	NM

General Provider Information

NPI Number	:	1649089517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY KINSON LCSW

Provider Business Mailing Address
First Line	:	PO BOX 12236
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-0236
Country	:	US
Telephone Number	:	915-731-8491
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 12236
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-0236
Country	:	US
Telephone Number	:	915-731-8491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2025
Last Update Date	:	02/12/2026

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Directions to “ TAMMY KINSON LCSW” Practice Location

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