Bradley Kornegay, Lcsw, Lcas, PLLC
NPI 1225422686ActiveOrganization· Social Worker, Clinical· Greenville, NC
Social Worker, Clinical in Greenville, North Carolina, registered in NPPES in March 2015. The authorized official on file is Bradley Kornegay, MSW, LCSW, LCAS, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225422686 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2015 |
| Last updated in NPPES | Mar 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C009346 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LCAS-2786 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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