In Depth Psychotherapy Lcsw PC
NPI 1134665565ActiveOrganization· Social Worker, Clinical· Flushing, NY
Social Worker, Clinical in Flushing, New York, registered in NPPES in January 2017. The authorized official on file is Guadalupe Avila, LCSW, Owner.
Overview
| NPI | 1134665565 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2017 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 055836-1 | NY |
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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