Coastal Mental Health & Wellness, LLC
NPI 1679082978ActiveOrganization· Social Worker, Clinical· Lakewood Ranch, FL
Social Worker, Clinical in Lakewood Ranch, Florida, registered in NPPES in September 2017. The authorized official on file is Victoria Defalco Charland, Ambr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679082978 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2017 |
| Last updated in NPPES | Jan 9, 2025 |
| Certified by provider | Jan 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 (FL) |
|---|
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