360 Client Solutions & Professional Services, LLC
NPI 1386530640ActiveOrganization· Social Worker, Clinical· Fayetteville, GA
Social Worker, Clinical in Fayetteville, Georgia, registered in NPPES in June 2025. The authorized official on file is Malika Washington, LCSW, Lcsw/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386530640 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2025 |
| Last updated in NPPES | May 4, 2026 |
| Certified by provider | May 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Case Management | 251B00000X | — | — |
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 (GA) |
|---|
Other Social Worker, Clinical providers in Fayetteville
- 1639995350
- 1235879727
- 1457690760
- 1033612460
- 1033832993
- 1134925514
- 1023580800
- 1922169564
- 1184904211
- 1326281544
- 1346897444
- 1679154371