Bridgewater Counseling Services PC
NPI 1891959169ActiveOrganization· Social Worker, Clinical· Bridgewater, VA
Social Worker, Clinical in Bridgewater, Virginia, registered in NPPES in July 2008. The authorized official on file is Scott W. Mandeville, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891959169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2008 |
| Last updated in NPPES | Dec 13, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 0904002990 | VA |
| Social Worker, Clinical | 1041C0700X | 0812000382 | VA |
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 (VA) |
|---|
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