Search › Tennessee › 1041C0700X
Matthew Crescenzi, LCSW
NPI 1124402755 · on the registry since 2015
Practice
- Address
- 10805 Kingston Pike Ste 110
Knoxville, TN 37934 - Phone
- (865) 800-8626
- Fax
- (865) 999-1405
- Organisation at this address
- Omni Functional Medicine, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 1851 Crest Rd, Maryville, TN
- 201 W Springdale Ave, Knoxville, TN
- 9724 Kingston Pike Ste 405, Knoxville, TN
- 2202 Award Winning Way Ste 103, Knoxville, TN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
101YP2500X
171M00000X - Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee