Florida Aging Mental Health LLC
NPI 1922523497ActiveOrganization· Social Worker, Clinical· Bradenton, FL
Social Worker, Clinical in Bradenton, Florida, registered in NPPES in August 2017. The authorized official on file is Christopher Anthony Wilcox, LCSW, Lcsw Consultant. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922523497 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2017 |
| Last updated in NPPES | Apr 14, 2023 |
| Certified by provider | Apr 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Social Worker, Clinical | 1041C0700X | 14000 | FL |
| Dentist | 122300000X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
| Dermatology | 207N00000X | — | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — | — |
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 (FL) |
|---|
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