Second Chance Counseling PLLC
NPI 1265190094ActiveOrganization· Social Worker, Clinical· Middletown, NY
Social Worker, Clinical in Middletown, New York, registered in NPPES in November 2021. The authorized official on file is Patricia R. De Jesus, LCSW, Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265190094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2021 |
| Last updated in NPPES | Jan 7, 2022 |
| Certified by provider | Jan 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 (NY) |
|---|
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