Brainbow Forge
NPI 1659119030ActiveOrganization· Social Worker, Clinical· Coos Bay, OR
Social Worker, Clinical in Coos Bay, Oregon, registered in NPPES in July 2024. The authorized official on file is Mariena Joy, LCSW, L10767, CLSS, Therapist.
Overview
| NPI | 1659119030 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2024 |
| Last updated in NPPES | May 20, 2025 |
| Certified by provider | May 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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All 40 clinical social workers in Coos Bay · All clinical social workers in Oregon