Allen Kerrie Gholston, LCSW
NPI 1548380991ActiveIndividual· Social Worker, Clinical· Olive Branch, MS
Social Worker, Clinical (LCSW) with Right Track Medical Group, Inc, practicing in Olive Branch, Mississippi. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1548380991 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2007 |
| Last updated in NPPES | Jul 15, 2026 |
| Certified by provider | Jul 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C-10110 | MS |
| Counselor, Mental Health | 101YM0800X | 0000005776 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MS); Practitioner - Clinical Social Worker (TN) |
|---|
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Right Track Medical Group, IncOxford, MS · 26 clinicians
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