Kingdom Logistics Group, LLC
NPI 1083435481ActiveOrganization· Social Worker, Clinical· Fayetteville, NC
Social Worker, Clinical in Fayetteville, North Carolina, registered in NPPES in October 2024. The authorized official on file is Larissa Harris, Manager.
Overview
| NPI | 1083435481 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2024 |
| Last updated in NPPES | Oct 21, 2024 |
| Certified by provider | Oct 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Social Worker | 104100000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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