Clinical Care Therapy & Wellness, PLLC
NPI 1508695586ActiveOrganization· Social Worker, Clinical· Jacksonville, NC
Social Worker, Clinical in Jacksonville, North Carolina, registered in NPPES in July 2024. The authorized official on file is Lavoncia Regan Peterson, LCSW, LCASA, Ceo/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508695586 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2024 |
| Last updated in NPPES | Jan 2, 2026 |
| Certified by provider | Jan 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
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 (NC) |
|---|
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