Making A Difference Support Services, LLC
NPI 1013424225ActiveOrganization· Social Worker, Clinical· Fairbanks, AK
Social Worker, Clinical in Fairbanks, Alaska, registered in NPPES in January 2018. The authorized official on file is Crystal Devon McCormick, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013424225 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2018 |
| Last updated in NPPES | Apr 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CSWS1053 | AK |
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 (AK) |
|---|
Other clinical social workers in Fairbanks
- 1033279351
- 1043010473
- 1063155422
- 1063288348
- 1154009777
- 1194094268
- 1285212217
- 1285401075
- 1306215587
- 1306586961
- 1326022104
- 1386569184
All 103 clinical social workers in Fairbanks · All clinical social workers in Alaska