Theresa Land, LCSW
NPI 1134644578ActiveIndividual· Social Worker, Clinical· Waycross, GA
Social Worker, Clinical (LCSW) in Waycross, Georgia, licensed in GA, with an NPI issued in August 2017. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1134644578 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Aug 7, 2017 |
| Last updated in NPPES | Nov 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CSW004715 | GA |
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 (GA) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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