Brian Mullervy
NPI 1467875633ActiveIndividual· Counselor· Pawtucket, RI
Counselor in Pawtucket, Rhode Island, licensed in RI, with an NPI issued in January 2014. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1467875633 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 24, 2014 |
| Last updated in NPPES | Jan 10, 2022 |
| Certified by provider | Jan 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | — | — |
| Social Worker, Clinical | 1041C0700X | CSW02074 | RI |
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 Practitioner - Clinical Social Worker (RI) |
|---|
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