Jessica Prodis Licsw
NPI 1780191726ActiveOrganization· Social Worker, Clinical· Holyoke, MA
Social Worker, Clinical in Holyoke, Massachusetts, registered in NPPES in December 2017. The authorized official on file is Jessica Jeanne Prodis, LICSW, Supervising Clinician.
Overview
| NPI | 1780191726 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2017 |
| Last updated in NPPES | Jan 30, 2024 |
| Certified by provider | Dec 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 118495 | MA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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