Nicodemus Therapeutic Services PLLC
NPI 1063113108ActiveOrganization· Social Worker, Clinical· Minot, ND
Social Worker, Clinical in Minot, North Dakota, registered in NPPES in March 2023. The authorized official on file is Timothy Scott Starks, LCSW, Therapist.
Overview
| NPI | 1063113108 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2023 |
| Last updated in NPPES | Dec 13, 2023 |
| Certified by provider | Dec 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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