Blossoms of Change Counseling Lcsw PLLC
NPI 1962271262ActiveOrganization· Social Worker, Clinical· West Islip, NY
Social Worker, Clinical in West Islip, New York, registered in NPPES in December 2023. The authorized official on file is Courtney A. Jacobson, LCSW, Sole Member.
Overview
| NPI | 1962271262 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2023 |
| Last updated in NPPES | Dec 27, 2023 |
| Certified by provider | Dec 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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