CHARLES L SHIVLEY
NPI 1407330244
Social Worker - Clinical in Oak Ridge, TN

Q: What is Charles Shivley's NPI number?

The NPI number for Charles Shivley is 1407330244. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Q: What is Charles Shivley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Shivley was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment

240 W TYRONE RD, OAK RIDGE, TN 37830(865) 482-1076 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Charles L Shivley NPPES

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

CHARLES L SHIVLEY (NPI 1407330244) is an individual clinical provider in Oak Ridge, Tennessee and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2014).

NPPES Registry Identity

NPI1407330244

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCHARLES L SHIVLEY

Location Address240 W TYRONE RDOak Ridge, TN 37830-6517

Mailing Address240 W Tyrone RdOak Ridge, TN 37830-6517

Phone(865) 482-1076

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2014

Enumeration DateSeptember 18, 2018

✔ NPI 1407330244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

240 W TYRONE RD, Oak Ridge, TN 37830

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles L Shivley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294088647

PECOS Enrollment IDI20221027002393

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Charles Shivley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Healthcare Services

328 mi

Community/Behavioral Health

2150 WHITNEY AVE
Memphis, TN 38127

Reassigned Medicare billing, Tennessee enrollment
86 clinicians in this Medicare group

NPI 1295898393 (901) 353-5440

Psychological & Behavioral Consultants, LLC

403 mi

Psychiatry

25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122

Reassigned Medicare billing, Kentucky enrollment
198 clinicians in this Medicare group

NPI 1811915713 (216) 468-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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 20

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

SHARON B. REED LCSW

Counselor (Addiction (Substance Use Disorder))