Imynd Connects, LLC
NPI 1104446194ActiveOrganization· Social Worker, Clinical· Creve Coeur, MO
Social Worker, Clinical in Creve Coeur, Missouri, registered in NPPES in April 2020. The authorized official on file is Susan Elizabeth Stevenson Moore, MSW, LCSW, Owner.
Overview
| NPI | 1104446194 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2020 |
| Last updated in NPPES | May 11, 2020 |
| Certified by provider | May 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
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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