Leslie D. Mavromatis, LICSW
NPI 1922546175ActiveIndividual· Counselor, Mental Health· Bridgeport, WV
Counselor, Mental Health (LICSW) with Bridgeport Behavioral Clinic, practicing in Bridgeport, West Virginia. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1922546175 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Feb 8, 2017 |
| Last updated in NPPES | Feb 8, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | DP00944782 | WV |
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 (WV) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Bridgeport Behavioral ClinicBridgeport, WV · 6 clinicians
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