The Outreach Wellness Center LLC
NPI 1346009453ActiveOrganization· Social Worker· Quincy, MA
Social Worker in Quincy, Massachusetts, registered in NPPES in March 2024. The authorized official on file is Brandon Gholson, LCSW, Intake Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1346009453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2024 |
| Last updated in NPPES | Mar 19, 2024 |
| Certified by provider | Mar 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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