Lifespan Therapy, LLC
NPI 1396331781ActiveOrganization· Social Worker, Clinical· Grand Island, NE
Social Worker, Clinical in Grand Island, Nebraska, registered in NPPES in December 2020. The authorized official on file is Jody A. Johnson, Lcsw. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396331781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2020 |
| Last updated in NPPES | Sep 24, 2025 |
| Certified by provider | Sep 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NE) |
|---|
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