Community Wellness and Rehab, LLC
NPI 1093522864ActiveOrganization· Social Worker, Clinical· Gulfport, MS
Social Worker, Clinical in Gulfport, Mississippi, registered in NPPES in December 2024. The authorized official on file is Terrance Joseph Skidmore, LCSW, Director, Lcsw.
Overview
| NPI | 1093522864 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2024 |
| Last updated in NPPES | Dec 18, 2024 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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