Life Bridge Therapy
NPI 1235533506ActiveOrganization· Social Worker, Clinical· Champaign, IL
Social Worker, Clinical in Champaign, Illinois, registered in NPPES in October 2014. The authorized official on file is Deborah Crandall, LCSW, Owner.
Overview
| NPI | 1235533506 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2014 |
| Last updated in NPPES | Oct 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149015301 | IL |
| Marriage & Family Therapist | 106H00000X | 166000861 | IL |
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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