In Our Practice Psychotherapy Private Practice
NPI 1124666714ActiveOrganization· Social Worker, Clinical· Saginaw, MI
Social Worker, Clinical in Saginaw, Michigan, registered in NPPES in December 2019. The authorized official on file is Stacy Lynn Athens, Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124666714 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2019 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
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 (MI) |
|---|
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