Individual provider Active NPI

Richard Steven McDonald Jr., L.C.S.W.

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1437695020
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6443 Issued in TN
Practice address
6778 Executive Oak LN
Chattanooga, TN 37421-1970
Phone
(423) 805-2514
Fax
(423) 531-2487
NPI assigned
Jan 6, 2017
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6443 TN Primary

Addresses

Primary practice location

6778 Executive Oak LN
Chattanooga, TN 37421-1970

Mailing address

PO Box 247
Hixson, TN 37343-0247
Phone (423) 805-2514

Other practice location 1

7161 Lee Hwy Ste 400
Chattanooga, TN 37421-8604
Phone (423) 443-3336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509001951 TN Practitioner - Clinical Social Worker 4385914704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Youth Behavioral HealthGroup PAC ID 1254731417, 6 clinicians

Practice addresses (Care Compare)

7161 Lee Hwy
Suite 400
Chattanooga, TN 37421-8604
Phone (423) 443-3336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Youth Behavioral Health CurrentSince Mar 31, 2025 Accepting new patients
SWS Psychotherapy PLLC Clinical CurrentSince Sep 13, 2017 Accepting new patients

Locations

1360 Mackey Branch Dr
Chattanooga, TN 37421
Phone (423) 443-3336

6778 Executive Oak Ln
Chattanooga, TN 37421
Phone (423) 805-2514

7161 Lee Hwy
Ste 400
Chattanooga, TN 37421
Phone (423) 443-3336

7345 Courage Way
Ste 101
Chattanooga, TN 37421
Phone (423) 602-9791

302 Northgate Mall Dr
Unit 247
Hixson, TN 37343

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1437695020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373430247",
            "telephone_number": "423-805-2514",
            "fax_number": "423-531-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6778 EXECUTIVE OAK LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211970",
            "telephone_number": "423-805-2514",
            "fax_number": "423-531-2487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7161 Lee Hwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374218604",
            "country_code": "US",
            "telephone_number": "423-443-3336",
            "fax_number": "423-464-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "RICHARD",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-06",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.