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Jamie A. Wathen

NPI 1417768060ActiveIndividual· Social Worker, Clinical· Elizabethtown, KY

Social Worker, Clinical with Lifespring, Inc, practicing in Elizabethtown, Kentucky. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1417768060
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 14, 2025
Last updated in NPPESJan 14, 2025
Certified by providerJan 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X257000KY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (IN)

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyClinical Social Worker
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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