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

Mr. Joe Douglas Revis Jr., LCSW

Individual provider Clinical Social Worker · NPI 1174174601

Mr. Joe Douglas Revis Jr., LCSW is a Clinical Social Worker in Rutherfordton, North Carolina. Qualified in 1985, 41 years ago. Practices with Blue Ridge Hope, a 6-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
41
Licensed in
NC
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

356 Charlotte Rd
Rutherfordton, NC 28139-2916
Phone: (828) 287-7945
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C006046 (NC)

Record details

NPI number1174174601
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Blue Ridge Hope — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rutherfordton