Joe Douglas Revis Jr., LCSW
NPI 1174174601ActiveIndividual· Social Worker, Clinical· Rutherfordton, NC
Social Worker, Clinical (LCSW) with Blue Ridge Hope, practicing in Rutherfordton, North Carolina. Medicare paid $5,706 for services to 16 patients in 2024.
Overview
| NPI | 1174174601 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Sep 25, 2019 |
| Last updated in NPPES | Feb 2, 2023 |
| Certified by provider | Feb 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C006046 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 80 across 2 procedure codes |
| Paid by Medicare | $5,706 |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Blue Ridge HopeRutherfordton, NC · 6 clinicians
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