James Vaughn Brock Jr., MDIV., PSYD., L.S.W.
NPI 1750485850ActiveIndividual· Social Worker· New Albany, IN
Social Worker (MDIV., PSYD., L.S.W.) with Communicare Inc, practicing in New Albany, Indiana. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1750485850 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MDIV., PSYD., L.S.W. |
| Sole proprietor | Yes |
| NPI issued | Sep 11, 2006 |
| Last updated in NPPES | Feb 1, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 33001554A | IN |
| Psychologist, Clinical | 103TC0700X | 2009-100 | KY |
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 Practitioner - Clinical Psychologist (KY) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Communicare IncLeitchfield, KY · 26 clinicians
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