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NPI 1124686787ActiveOrganization· Social Worker, Clinical· West Bloomfield, MI
Social Worker, Clinical in West Bloomfield, Michigan, registered in NPPES in May 2019. The authorized official on file is Shannon Martin, Owner.
Overview
| NPI | 1124686787 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2019 |
| Last updated in NPPES | May 30, 2019 |
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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