Mountain Community Wellness Center
NPI 1619248762ActiveOrganization· Social Worker, Clinical· Watertown, NY
Social Worker, Clinical in Watertown, New York, registered in NPPES in January 2012. The authorized official on file is Jerry Michael Brown, LCSW-R, Clinical Director.
Overview
| NPI | 1619248762 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2012 |
| Last updated in NPPES | Jan 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 061925 | NY |
| Social Worker, Clinical | 1041C0700X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Social Worker, Clinical providers in Watertown
- 1053219733
- 1952100539
- 1396126868
- 1770429581
- 1306924675
- 1558971838
- 1275818205
- 1689197055
- 1912593294
- 1629338702
- 1528453974
- 1134376783