Kelland Jay Brewer, CSW
NPI 1750869863ActiveIndividual· Social Worker, Clinical· Moab, UT
Social Worker, Clinical (CSW) with Four Corners Community Behavioral Health Inc, practicing in Moab, Utah. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1750869863 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CSW |
| Sole proprietor | No |
| NPI issued | Jul 31, 2018 |
| Last updated in NPPES | Aug 18, 2022 |
| Certified by provider | Aug 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 10834446-3501 | UT |
| Social Worker | 104100000X | 10834446-3502 | UT |
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 Social Worker (UT) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Four Corners Community Behavioral Health IncPrice, UT · 24 clinicians
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