Mikhaela Creekmore LLC
NPI 1306689617ActiveOrganization· Social Worker, Clinical· Janesville, WI
Social Worker, Clinical in Janesville, Wisconsin, registered in NPPES in June 2024. The authorized official on file is Mikhaela Creekmore, LCSW, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306689617 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2024 |
| Last updated in NPPES | Jun 14, 2024 |
| Certified by provider | Jun 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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