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Brent P. Baynon Jr., LCSW

NPI 1104588615ActiveIndividual· Social Worker, Clinical· East Meadow, NY

Social Worker, Clinical (LCSW) with Epic Long Island, practicing in East Meadow, New York. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1104588615
StatusActive
Entity typeIndividual
CredentialLCSW
Sole proprietorNo
NPI issuedOct 12, 2021
Last updated in NPPESJun 9, 2025
Certified by providerJun 9, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X100287NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (NY)

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyClinical Social Worker
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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