Lifesource of North Carolina
NPI 1093350647ActiveOrganization· Social Worker, Clinical· North Platte, NE
Social Worker, Clinical in North Platte, Nebraska, registered in NPPES in November 2019. The authorized official on file is Peggy Baddour, President.
Overview
| NPI | 1093350647 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2019 |
| Last updated in NPPES | Mar 25, 2021 |
| Certified by provider | Mar 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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