Neurodiverse Therapy, LLC
NPI 1255020368ActiveOrganization· Social Worker· Fort Knox, KY
Social Worker in Fort Knox, Kentucky, registered in NPPES in May 2023. The authorized official on file is Stacey Zimmerman, Lcsw/ Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1255020368 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2023 |
| Last updated in NPPES | May 4, 2023 |
| Certified by provider | May 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (KY) |
|---|
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