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NPI 1215587126ActiveOrganization· Social Worker, Clinical· Gresham, OR
Social Worker, Clinical in Gresham, Oregon, registered in NPPES in September 2019. The authorized official on file is Sarita Eugenia Trawick, LCSW, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215587126 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2019 |
| Last updated in NPPES | Mar 4, 2026 |
| Certified by provider | Mar 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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 (OR) |
|---|
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