Lifesource of North Carolina
NPI 1174168496ActiveOrganization· Social Worker, Clinical· Minot, ND
Social Worker, Clinical in Minot, North Dakota, registered in NPPES in November 2019. The authorized official on file is Peggy Baddour, President.
Overview
| NPI | 1174168496 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2019 |
| Last updated in NPPES | Mar 25, 2021 |
| Certified by provider | Mar 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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All 78 clinical social workers in Minot · All clinical social workers in North Dakota