Entwine, LLC
NPI 1407436173ActiveOrganization· Social Worker, Clinical· Fargo, ND
Social Worker, Clinical in Fargo, North Dakota, registered in NPPES in April 2021. The authorized official on file is Chasity Marie Keller, LCSW, Clinical Social Worker.
Overview
| NPI | 1407436173 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 8, 2021 |
| Last updated in NPPES | Nov 13, 2023 |
| Certified by provider | Aug 24, 2023 |
| Reactivated | Nov 13, 2023 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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