GARY MASTERS LCSW NPI 1851395784

NPI Information

  • NPI: 1851395784
  • Provider Name: GARY MASTERS, LCSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 105 W STONE DR
    STE 3B
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 578-1541

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NPI Details

Gary Masters, LCSW is a social worker in Kingsport, TN. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Gary Masters, LCSW NPI is 1851395784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 W STONE DR
STE 3B
KINGSPORT, TN
ZIP 37660-256
Phone: (423) 578-1541

The enumeration date for this NPI number is 6/9/2005 and was last updated on 9/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerLSW03239TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103I086169MEDICARE UPINTENNESSEE
23700952MEDICARE UPINTENNESSEE
3008907528MEDICAIDVIRGINIA
43695901MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
53695900MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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