Intentional Wellness Psychotherapy, PLLC
NPI 1114881059ActiveOrganization· Social Worker, Clinical· Southfield, MI
Social Worker, Clinical in Southfield, Michigan, registered in NPPES in December 2025. The authorized official on file is Kate Ada Fitzsimons, LMSW, Clinical Social Worker/Owner.
Overview
| NPI | 1114881059 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2025 |
| Last updated in NPPES | Dec 15, 2025 |
| Certified by provider | Dec 12, 2025 |
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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