Jomon John Thekkethottiyil
NPI 1023376894ActiveIndividual· Social Worker, Clinical· St Petersburg, FL
Social Worker, Clinical in St Petersburg, Florida, licensed in FL, with an NPI issued in April 2012. Medicare paid $57,997 for services to 87 patients in 2024.
Overview
| NPI | 1023376894 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 30, 2012 |
| Last updated in NPPES | Jun 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW10806 | FL |
| Counselor | 101Y00000X | SW10806 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 1,128 across 4 procedure codes |
| Paid by Medicare | $57,997 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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