Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

THOMAS M GILBERTSON LCSW
NPI 1245224419
Social Worker - Clinical in Knoxville, TN

Active since September 02, 2005Opted out of Medicare · through Jul 1, 2027
9401 PARK WEST BLVD, KNOXVILLE, TN 37923(865) 690-8190(865) 531-3536 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas M Gilbertson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS M GILBERTSON LCSW (NPI 1245224419) is an individual clinical provider in Knoxville, Tennessee, licensed in Tennessee (000524) and active in the NPI registry since September 2005. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245224419
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHOMAS M GILBERTSONCredential: LCSW
Location Address9401 PARK WEST BLVDKnoxville, TN 37923-4202
Mailing Address9401 Park West BlvdKnoxville, TN 37923-4202 · (865) 690-8190 · Fax (865) 531-3536
Fax(865) 531-3536
Sole ProprietorNo
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1245224419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TN · 000524
Definition

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.

9401 PARK WEST BLVD, Knoxville, TN 37923

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Thomas M Gilbertson Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
9401 PARK WEST BLVD
KNOXVILLE, TN 37923
Psychiatry & Neurology (Psychiatry)
9401 PARK WEST BLVD
KNOXVILLE, TN 37923

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Gilbertson's NPI number?

The NPI number for Thomas Gilbertson is 1245224419. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Thomas Gilbertson located?

Thomas Gilbertson practices at 9401 Park West Blvd, Knoxville, TN 37923. The listed phone number is (865) 690-8190.

What is Thomas Gilbertson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Thomas Gilbertson enrolled in Medicare?

No. Thomas Gilbertson has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Thomas Gilbertson accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Thomas Gilbertson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Gilbertson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.