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NPI 1275764896ActiveOrganization· Psychologist, Clinical· Gary, IN

Psychologist, Clinical in Gary, Indiana, registered in NPPES in July 2009. The authorized official on file is Clifton Smith, LCSW, Executive Director.

Overview

NPI1275764896
StatusActive
Entity typeOrganization
NPI issuedJul 30, 2009
Last updated in NPPESJul 30, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X20042301AIN
Social Worker, Clinical1041C0700X34001842AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other clinical psychologists in Gary

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