Ophelia Mailloux, LISW-S
NPI 1710106984ActiveIndividual· Social Worker· Mansfield, OH
Social Worker (LISW-S) with Third Street Community Clinic, Inc., practicing in Mansfield, Ohio. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1710106984 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW-S |
| Sole proprietor | No |
| NPI issued | Apr 25, 2007 |
| Last updated in NPPES | Aug 1, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | I.00010288 | OH |
| Marriage & Family Therapist | 106H00000X | — | — |
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 Practitioner - Clinical Social Worker (OH) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Third Street Community Clinic, Inc.Mansfield, OH · 29 clinicians
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