Gary L. Short, LCSW-R
NPI 1164674677ActiveIndividual· Social Worker, Clinical· Bath, NY
Social Worker, Clinical (LCSW-R) in Bath, New York, licensed in NY, with an NPI issued in October 2008. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1164674677 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW-R |
| Sole proprietor | Yes |
| NPI issued | Oct 15, 2008 |
| Last updated in NPPES | Oct 15, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | R02539-1 | NY |
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 (NY) |
|---|
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