Wings of the Future Private Practice Lcsw PC
NPI 1144705724ActiveOrganization· Social Worker, Clinical· Pasadena, CA
Social Worker, Clinical in Pasadena, California, registered in NPPES in September 2018. The authorized official on file is Krystal M. Boothe, LCSW, Executive Director.
Overview
| NPI | 1144705724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2018 |
| Last updated in NPPES | Mar 24, 2023 |
| Certified by provider | Mar 24, 2023 |
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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