Michelle Dague Lcsw Professional Corporation
NPI 1053991257ActiveOrganization· Social Worker, Clinical· Grants Pass, OR
Social Worker, Clinical in Grants Pass, Oregon, registered in NPPES in April 2021. The authorized official on file is Michelle Dague, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053991257 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2021 |
| Last updated in NPPES | Jan 7, 2025 |
| Certified by provider | Jan 7, 2025 |
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 (OR) |
|---|
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