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Shaia D'Ourso

NPI 1316281363ActiveIndividual· Social Worker· Espanola, NM

Social Worker with Earth Spirit Awakenings LLC, practicing in Espanola, New Mexico. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1316281363
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 15, 2012
Last updated in NPPESNov 15, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker Primary104100000XM-08145NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (NM)

Medicare sources and data years

Education and affiliations

Graduation year2012
Medicare specialtyClinical Social Worker

Medical group

Source: CMS Care Compare

Other Social Worker providers in Espanola

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