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NPI 1366170839ActiveOrganization· Social Worker, Clinical· Cordova, TN
Social Worker, Clinical in Cordova, Tennessee, registered in NPPES in August 2022. The authorized official on file is Jamil E. Matthews, LCSW, Founding Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366170839 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2022 |
| Last updated in NPPES | Oct 30, 2024 |
| Certified by provider | Oct 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 (TN) |
|---|
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