The Mind and Body Clinic
NPI 1164187027ActiveOrganization· Social Worker, Clinical· Springfield, MO
Social Worker, Clinical in Springfield, Missouri, registered in NPPES in November 2021. The authorized official on file is Elizabeth Brooke Martin, LCSW, Owner/Clinician.
Overview
| NPI | 1164187027 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2021 |
| Last updated in NPPES | Jul 31, 2023 |
| Certified by provider | Jul 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
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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