Professional Services Group
NPI 1386070134ActiveOrganization· Social Worker· Kenosha, WI
Social Worker in Kenosha, Wisconsin, registered in NPPES in September 2013. The authorized official on file is Kerrie E. Boeckman, LCSW, Clinic Therapist.
Overview
| NPI | 1386070134 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2013 |
| Last updated in NPPES | Sep 24, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 8047-123 | WI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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