Center for Integrated Well Being Inc
NPI 1053485003ActiveOrganization· Social Worker, Clinical· Saint Paul, MN
Social Worker, Clinical in Saint Paul, Minnesota, registered in NPPES in November 2006. The authorized official on file is Jeffry David Jeanetta Wark, MA LICSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053485003 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Aug 22, 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 (MN) |
|---|
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