Blue Heron Wellness LLC
NPI 1679063424ActiveOrganization· Social Worker, Clinical· Lexington, SC
Social Worker, Clinical in Lexington, South Carolina, registered in NPPES in May 2018. The authorized official on file is Renea Christine Mable, LISW-CP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679063424 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2018 |
| Last updated in NPPES | Jul 20, 2021 |
| Certified by provider | Jul 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 10640 | SC |
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) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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