250 Highland Ave LLC
NPI 1093579039ActiveOrganization· Social Worker, Clinical· Maplewood, NJ
Social Worker, Clinical in Maplewood, New Jersey, registered in NPPES in February 2024. The authorized official on file is William Carr, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093579039 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2024 |
| Last updated in NPPES | Feb 9, 2024 |
| Certified by provider | Feb 8, 2024 |
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 (NJ) |
|---|
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