Personal Growth Concepts, Inc.
NPI 1104850353ActiveOrganization· Social Worker, Clinical· Stratford, CT
Social Worker, Clinical in Stratford, Connecticut, registered in NPPES in July 2006. The authorized official on file is John A. Pacheco, LCSW, LADC, President/Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104850353 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 11, 2006 |
| Last updated in NPPES | Jan 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
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 Part B Supplier - Clinic/Group Practice (CT) |
|---|
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