<unavail> in Chattanooga, TN - Medicare Social Worker

is a medicare enrolled mental health clinic (Social Worker - Clinical) in Chattanooga, Tennessee. The current practice location for is 6778 Executive Oak Ln, Chattanooga, Tennessee. For appointments, you can reach them via phone at (423) 805-2514. The mailing address for is Po Box 247, Hixson, Tennessee and phone number is (423) 805-2514.

is licensed to practice in Tennessee (license number 6443). The clinic also participates in the medicare program and its NPI number is 1962948554. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (423) 805-2514.

Contact Information


	6778 Executive Oak Ln Chattanooga TN 37421-1970
	(423) 805-2514
	(423) 531-2487

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Social Worker
Location	6778 Executive Oak Ln, Chattanooga, Tennessee
Authorized Official Name and Position	Richard Steven Mcdonald (REGISTERED AGENT)
Authorized Official Contact	4235098765
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 247 Hixson TN 37343-0247 Ph: (423) 805-2514	6778 Executive Oak Ln Chattanooga TN 37421-1970 Ph: (423) 805-2514

NPI Details:

NPI Number	1962948554
Provider Enumeration Date	01/06/2017
Last Update Date	05/31/2023
Certification Date	05/31/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	9335403823
Medicare Enrollment ID	O20180509001976

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962948554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6443 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Richard Steven Mcdonald
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1437695020 PECOS PAC ID: 4385914704 Enrollment ID: I20180509001951

Reviews and Comments

Social Worker in Chattanooga, TN

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- Medicare Mental Health Clinic in Chattanooga, TN