Josandra Defazio, LGSW
NPI 1609598671ActiveIndividual· Social Worker, Clinical· Bridgeport, WV
Social Worker, Clinical (LGSW) in Bridgeport, West Virginia, licensed in WV, with an NPI issued in September 2022. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1609598671 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LGSW |
| Sole proprietor | No |
| NPI issued | Sep 15, 2022 |
| Last updated in NPPES | Dec 9, 2025 |
| Certified by provider | Dec 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | DP00946344 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WV) |
|---|
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