Laura G Dimatteo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6659 Issued in TN

Practice address

1120 Silo Way
Knoxville, TN 37923-1691

Phone

(727) 538-4208

Fax

(727) 538-4209

NPI assigned

Sep 26, 2011

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Laura G Kaplan Former name

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Parkwest Medical Center

  dba Peninsula Outpatient Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maryville, TN
  • NPI 1699757609
  NPD (past)
• Tennessee Vein Center, PLLC

  • Primary Care Clinic/Center
  • Alcoa, TN
  • NPI 1598070807
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1942583901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SILO WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231691",
            "telephone_number": "727-538-4208",
            "fax_number": "727-538-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SILO WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231691",
            "telephone_number": "727-538-4208",
            "fax_number": "727-538-4209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Center Park Dr Ste 1003",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379222125",
            "country_code": "US",
            "telephone_number": "774-922-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Veterans Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379313161",
            "country_code": "US",
            "telephone_number": "727-538-4208",
            "fax_number": "727-538-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMATTEO",
        "first_name": "LAURA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117761",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q034244",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KAPLAN",
            "middle_name": "G",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Dillon, BSSW
• Lauryn Dills, M.S.
• Amy Lynn Dilworth, LPC, MHSP, AS
• Brian Robert Dilworth, M.D.
• Lee Robert Dilworth, MD
• Dimensional Family Wellness, Inc (Dimensional Family Wellness)
• Dimitrios J. Vareldzis DDS PLLC (West Knox Dentistry)
• Diane Marie Dimola, MPH, RN, BSN, CPN
• Kalie Dineen, NP
• Candice C Dingus, RN

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.