Intervention Services of Southeast Alabama, LLC
NPI 1285340406ActiveOrganization· Social Worker, Clinical· Enterprise, AL
Social Worker, Clinical in Enterprise, Alabama, registered in NPPES in January 2023. The authorized official on file is Jessyca Renae Coleman, LICSW-S, Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285340406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2023 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 31, 2023 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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