Legacy's Impact Intervention L.L.C
NPI 1336770627ActiveOrganization· Social Worker, Clinical· Bartlesville, OK
Social Worker, Clinical in Bartlesville, Oklahoma, registered in NPPES in January 2020. The authorized official on file is Shonta Crowder, LCSW, Director/Therapist.
Overview
| NPI | 1336770627 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2020 |
| Last updated in NPPES | Jan 27, 2020 |
| Certified by provider | Jan 27, 2020 |
Specialties and licenses
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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