Create Change Wellness Center LLC
NPI 1619533916ActiveOrganization· Social Worker· Paterson, NJ
Social Worker in Paterson, New Jersey, registered in NPPES in May 2019. The authorized official on file is Cyrena M. Dussard, MSW, LSW, Clinical Director.
Overview
| NPI | 1619533916 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2019 |
| Last updated in NPPES | May 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
| Counselor | 101Y00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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