Clinical, Consultation and Supervision Services Lcsw PLLC
NPI 1629329438ActiveOrganization· Social Worker, Clinical· Bronx, NY
Social Worker, Clinical in Bronx, New York, registered in NPPES in September 2012. The authorized official on file is Dominique Nerestan, LCSW-R, Clinical Social Worker. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629329438 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2012 |
| Last updated in NPPES | Jan 8, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | R063179 | NY |
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 Part B Supplier - Clinic/Group Practice (NY) |
|---|
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