Individual provider Active NPI

Matthew Bradley Reese, LCSW

  • Clinical Social Worker
  • New Tazewell, TN
National Provider Identifier
1790783918
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW923 Issued in TN
Practice address
1596 Highway 33 S
New Tazewell, TN 37825-7104
Phone
(423) 626-2965
Fax
(423) 626-2968
NPI assigned
Jul 12, 2005
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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 LSW923 TN Primary

Addresses

Primary practice location

1596 Highway 33 S
New Tazewell, TN 37825-7104

Mailing address

6350 W Andrew Johnson Hwy Dept 100
Talbott, TN 37877-8605
Phone (800) 355-3565

Other identifiers 1

IdentifierTypeStateIssuer
3924910MedicaidTN

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
I20070809000177 TN Practitioner - Clinical Social Worker 3274624911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Health SystemsGroup PAC ID 3577474295, 128 clinicians

Practice addresses (Care Compare)

1596 Hwy 33 S
New Tazewell, TN 37825-7104
Phone (423) 626-8271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW923TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Apr 3, 2019 Accepting new patients
Cherokee Health Systems CurrentSince Apr 3, 2019 Accepting new patients

Locations

880 Rutledge Pike
Blaine, TN 37709
Phone (865) 933-4110

2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406

2574 Frayser Blvd
Memphis, TN 38127
Phone (901) 271-9500

1923 Sulphur Springs Rd
Morristown, TN 37813

1596 Highway 33 S
New Tazewell, TN 37825
Phone (423) 626-8271

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

7719 Highway 131
Washburn, TN 37888
Phone (865) 497-2591

Interoperability endpoints

  • Direct secure messaging: matthew.reese.p1@direct.cherokeehealth.nextgenshare.com

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1790783918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY DEPT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 HIGHWAY 33 S",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378257104",
            "telephone_number": "423-626-2965",
            "fax_number": "423-626-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MATTHEW",
        "middle_name": "BRADLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3924910",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Tazewell, TN

Sources for this page

Verify at the official NPI Registry.