A Dementia Journey, LLC
NPI 1073401469ActiveOrganization· Social Worker, Clinical· Canon City, CO
Social Worker, Clinical in Canon City, Colorado, registered in NPPES in June 2025. The authorized official on file is Nancy Lea Greenstreet, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073401469 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2025 |
| Last updated in NPPES | Dec 5, 2025 |
| Certified by provider | Dec 5, 2025 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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