Bespoke Therapy and Consulting
NPI 1134988157ActiveOrganization· Social Worker, Clinical· Enfield, CT
Social Worker, Clinical in Enfield, Connecticut, registered in NPPES in March 2024. The authorized official on file is Dominique Shabazz, DSW, LCSW, Owner.
Overview
| NPI | 1134988157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2024 |
| Last updated in NPPES | Mar 14, 2024 |
| Certified by provider | Mar 14, 2024 |
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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