Cornervine Counseling, PLLC
NPI 1184423121ActiveOrganization· Social Worker, Clinical· Fargo, ND
Social Worker, Clinical in Fargo, North Dakota, registered in NPPES in March 2025. The authorized official on file is Amber Mutalipassi, LCSW, Owner.
Overview
| NPI | 1184423121 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2025 |
| Last updated in NPPES | Mar 27, 2025 |
| Certified by provider | Mar 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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