Jamie Trachtenberg, LCSW, ACHP-SW
NPI 1528198231ActiveIndividual· Social Worker, Clinical· Palm Springs, CA
Social Worker, Clinical (LCSW, ACHP-SW) with Blue Moon Senior Counseling of California LLC, practicing in Palm Springs, California. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1528198231 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, ACHP-SW |
| Sole proprietor | Yes |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | Feb 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW86942 | CA |
| Social Worker, Clinical | 1041C0700X | 083924-1 | NY |
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 (CA); Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Blue Moon Senior Counseling of California LLCPalm Springs, CA · 82 clinicians
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