Wellspring Grief Journey Support LLC
NPI 1053137240ActiveOrganization· Social Worker, Clinical· Albuquerque, NM
Social Worker, Clinical in Albuquerque, New Mexico, registered in NPPES in December 2024. The authorized official on file is Kristin D. Montes, LCSW, Owner/Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053137240 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 3, 2024 |
| Last updated in NPPES | Dec 13, 2024 |
| Certified by provider | Dec 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
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 (NM) |
|---|
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