Headspace LLC
NPI 1083229355ActiveOrganization· Social Worker, Clinical· Wethersfield, CT
Social Worker, Clinical in Wethersfield, Connecticut, registered in NPPES in September 2020. The authorized official on file is Samantha Burgos, LCSW, Owner.
Overview
| NPI | 1083229355 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2020 |
| Last updated in NPPES | Sep 13, 2020 |
| Certified by provider | Sep 13, 2020 |
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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