Jeremy Lee Mace, LCSW
NPI 1750719480ActiveIndividual· Social Worker, Clinical· Susanville, CA
Social Worker, Clinical (LCSW) in Susanville, California, licensed in CA and WI, with an NPI issued in October 2013.
Overview
| NPI | 1750719480 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Oct 15, 2013 |
| Last updated in NPPES | Aug 31, 2023 |
| Certified by provider | Aug 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW74014 | CA |
| Social Worker, Clinical | 1041C0700X | 129074-121 | WI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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