Providence Psychological Services Inc
NPI 1487090429ActiveOrganization· Social Worker, Clinical· Suffolk, VA
Social Worker, Clinical in Suffolk, Virginia, registered in NPPES in May 2013. The authorized official on file is Kawanna Evette Ward, LCSW, CSAC, CSOTP, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487090429 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2013 |
| Last updated in NPPES | May 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 09040007534 | VA |
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 (VA) |
|---|
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