Creating Space, LLC
NPI 1003436759ActiveOrganization· Social Worker, Clinical· Madison, WI
Social Worker, Clinical in Madison, Wisconsin, registered in NPPES in April 2020. The authorized official on file is Abigail Halloran, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003436759 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2020 |
| Last updated in NPPES | Apr 23, 2020 |
| Certified by provider | Apr 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 (WI) |
|---|
Other Social Worker, Clinical providers in Madison
- 1184543050
- 1386541423
- 1699164483
- 1669370581
- 1336922558
- 1235755364
- 1528232386
- 1932434420
- 1427812668
- 1477063212
- 1972461853
- 1164587150