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Complementary Support Services

NPI 1023093473ActiveOrganization· Social Worker, Clinical· Richfield, MN

Listed on the HHS-OIG exclusion list since May 2017 (1128b7). Social Worker, Clinical in Richfield, Minnesota, registered in NPPES in December 2005. The authorized official on file is Teri Dawn Dimond, LICSW, Executive Director.

Overview

NPI1023093473
StatusActive
Entity typeOrganization
NPI issuedDec 8, 2005
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X08879MN

About license numbers in NPPES

Exclusion screening

This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.

Matched byName on OIG listExclusion typeExcluded sinceLocation
NPIComplementary Support Services · Mental/Behavioral He1128b7May 30, 2017Minneapolis, MN
ListResultDetails
HHS-OIG LEIE · Oct 9, 2026Listed (NPI)See above
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Social Worker, Clinical providers in Richfield

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