Kiley P. Cedotal, LCSW-BACS, FACHE
NPI 1194537597ActiveIndividual· Social Worker, Clinical· Ponchatoula, LA
Social Worker, Clinical (LCSW-BACS, FACHE) in Ponchatoula, Louisiana, licensed in LA, with an NPI issued in January 2025. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1194537597 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW-BACS, FACHE |
| Sole proprietor | Yes |
| NPI issued | Jan 22, 2025 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Jan 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6181 | LA |
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 (LA) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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