The Fifth Season Center for Loss Grief and Transition
NPI 1245527001ActiveOrganization· Social Worker, Clinical· Greenville, SC
Social Worker, Clinical in Greenville, South Carolina, registered in NPPES in June 2011. The authorized official on file is Pattie S. Broderick, LISW, Executive Director.
Overview
| NPI | 1245527001 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2011 |
| Last updated in NPPES | Sep 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 1305 | SC |
| Counselor, Professional | 101YP2500X | 5150 | SC |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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