REBECCA MATLOCK (NPI# 1528515335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528515335 |
| Entity Type | Individual |
| Full Name | REBECCA MATLOCK |
| Other Name | REBECCA CHRISTINE FOWLER |
| Credential | LCSW |
| Practice Address |
501 Adesa Blvd Suite A-150 Lenoir City TN 37771-6725 |
| Mailing Address |
6350 W Andrew Johnson Hwy Department 100 Talbott TN 37877-8605 |
| Practice Telephone | 8659868082 |
| Practice Fax Number | 8659865890 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 10592 (LMSW) | TN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW6990 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174840334 | Rebecca Marie Matlock | Chiropractor | 291 Pickford Ave, Phillipsburg, NJ 08865 | 2010-04-28 |
| 1235572348 | Rebecca L. Matlock | Psychologist | 5161 E Arapahoe Rd, Suite 415, Centennial, CO 80122-2387 | 2013-04-09 |
| Street Address |
501 ADESA BLVD SUITE A-150 |
| City | LENOIR CITY |
| State | TN |
| Zip Code | 37771-6725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235137415 | Amir Ali A Hussaini | Psychiatry & Neurology | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2005-07-12 |
| 1225641319 | Keri Rebecca Bell | Licensed Practical Nurse | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2020-08-28 |
| 1629623087 | Laurie Apa | Counselor | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2019-08-02 |
| 1144730870 | Thyra Lynn Folkard | Case Manager/Care Coordinator | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2017-10-09 |
| 1669907853 | Allison Detig | Physical Therapist | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2017-04-25 |
| 1861931800 | Betty Edwards | Registered Nurse | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2017-02-22 |
| 1720480106 | Hilary Ann Parker | Counselor | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2014-09-17 |
| 1497992309 | Cherokee Health Systems | Psychologist | 501 Adesa Blvd, Ste A-150, Lenoir City, TN 37771-6719 | 2009-01-14 |
| 1437331436 | Raven Nicole Broyles | Case Manager/Care Coordinator | 501 Adesa Blvd, Ste A-150, Lenoir City, TN 37771 | 2007-11-30 |
| 1043432057 | Connie F Rust | Pharmacist | 501 Adesa Blvd, Lenoir City, TN 37771 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380621 | Geetika Chirumamilla | Dentist | 375 Kelsey Lane, Suite 1, Lenoir City, TN 37771 | 2018-06-15 |
| 1669918256 | Patrick Anthony Albanese | Pharmacist | 875 Hwy 321 N, Unit 600, Lenoir City, TN 37771 | 2017-01-06 |
| 1598014482 | Comprehensive Healthcare Systems of Lenoir City, PC | Contractor | 780 Highway 321 North Ste 10, Lenoir City, TN 37771 | 2012-09-06 |
| 1750619797 | James Olin Morris | Nurse Practitioner | 840 Hwy 321 N., Living Well Health Cooperative Clinic, Lenoir City, TN 37771 | 2009-12-03 |
| 1427284363 | Charles Preston Mccary IIi | Dentist | 603 Hwy 321 N., Lenoir City, TN 37771 | 2009-06-05 |
| 1619129004 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 300 Market Drive, Lenoir City, TN 37771 | 2008-10-16 |
| 1396898052 | David Wayne Holt | Chiropractor | 1005 E Broadway, Lenoir City, TN 37771 | 2007-01-18 |
| 1558428151 | Peter E Mueller | Optometrist | 911 Hwy 321 N, Lenoir City, TN 37771 | 2007-01-02 |
| 1871661371 | Darrick Shane Blankenship | Occupational Therapist | 785 Us Hwy 321 N, Ste 20, Lenoir City, TN 37771 | 2006-12-01 |
| 1851460224 | Cheryl S. Cason | Pharmacy Technician | 501 Adesa Blvd., Suite A 150, Lenoir City, TN 37771 | 2006-11-07 |
| Find all providers in zip 37771 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114045689 | Erica K Burnette | Social Worker | 1475 Simpson Rd W Ste 2, Lenoir City, TN 37771-6686 | 2007-03-26 |
| 1750627493 | Richard Martin Fridrick | Social Worker | 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771-6725 | 2012-12-28 |
| 1225061864 | Karen Renee Ratliff-trotter | Social Worker | 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771-6725 | 2006-07-08 |
| 1265423578 | Kathleen Webster Erickson | Social Worker | 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771-6725 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1770181661 | Sonya Carol Goodrich | Social Worker | 320 Spring Creek Hwy, Medina, TN 38355-9779 | 2020-10-13 |
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1942814306 | Hinda Rashki Osina | Social Worker | 5344 Brantford Ave, Memphis, TN 38120-2440 | 2020-09-03 |
| 1740893130 | Longmire Counseling Services, LLC | Social Worker | 1331 Union Ave Ste 1012, Memphis, TN 38104-7509 | 2020-08-26 |
| 1134732696 | Anna Lynn Gallo | Social Worker | 702 Grandview Dr, Maryville, TN 37803-5306 | 2020-08-25 |
| 1851909204 | Katherine Ann Faliski | Social Worker | 210 2nd Ave S, Franklin, TN 37064-2650 | 2020-07-21 |
| 1619595519 | Pha'meshia Calico | Social Worker | 3687 Paradise Lake Drive, Memphis, TN 38115-3811 | 2020-07-08 |
| 1780201442 | Safe Harbor Mental Health Pllc | Social Worker | 536 Uptown Sq, Murfreesboro, TN 37129-0589 | 2020-06-29 |
| 1316562218 | Divine Source | Social Worker | 141 Country Club Dr, Hendersonville, TN 37075-4041 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
| City | LENOIR CITY |
| Zip Code | 37771 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.