Stage of Change Therapy PLLC
NPI 1003627506ActiveOrganization· Social Worker, Clinical· Grand Forks, ND
Social Worker, Clinical in Grand Forks, North Dakota, registered in NPPES in January 2025. The authorized official on file is Adam Nygaard, LCSW, Lcsw/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003627506 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2025 |
| Last updated in NPPES | Jan 15, 2025 |
| Certified by provider | Jan 13, 2025 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (ND) |
|---|
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