Dragonfly Counseling PLLC
NPI 1730607854ActiveOrganization· Social Worker, Clinical· Clarkston, WA
Social Worker, Clinical in Clarkston, Washington, registered in NPPES in September 2017. The authorized official on file is Andrea L. Charles, LICSW, Owner/Clinician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730607854 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2017 |
| Last updated in NPPES | Feb 7, 2024 |
| Certified by provider | Feb 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | LW60737830 | WA |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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