Blue Archer Therapy, LLC
NPI 1760344493ActiveOrganization· Social Worker, Clinical· New Castle, PA
Social Worker, Clinical in New Castle, Pennsylvania, registered in NPPES in December 2025. The authorized official on file is Stephane Elisco, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760344493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 1, 2025 |
| Last updated in NPPES | Dec 1, 2025 |
| Certified by provider | Dec 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 (PA) |
|---|
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