Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles L Shivley

Individual provider Clinical Social Worker · NPI 1407330244

Charles L Shivley is a Clinical Social Worker in Oak Ridge, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2014, 12 years ago. Practices with Psychological and Behavioral Consultants LLC, a 577-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
12
Trained at
University of Tennessee, Hsc, College of Medicine
In the registry since
2018

Practice location Address checks out

240 W Tyrone Rd
Oak Ridge, TN 37830-6517
Phone: (865) 482-1076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1407330244
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESSeptember 18, 2018
Mailing address240 W Tyrone Rd, Oak Ridge, TN 37830-6517

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Psychological And Behavioral Consultants Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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