Active Wellness Group LLC
NPI 1336737675ActiveOrganization· Social Worker, Clinical· Trenton, FL
Social Worker, Clinical in Trenton, Florida, registered in NPPES in January 2021. The authorized official on file is Kimberly Carpenter Herring, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336737675 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2021 |
| Last updated in NPPES | Dec 16, 2025 |
| Certified by provider | Dec 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
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 (FL) |
|---|
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