Restore and Recover Counseling LLC
NPI 1417553793ActiveOrganization· Social Worker, Clinical· Fishers, IN
Social Worker, Clinical in Fishers, Indiana, registered in NPPES in December 2020. The authorized official on file is Nicole Marie Liedtke, LCSW,LCAC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417553793 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2020 |
| Last updated in NPPES | Dec 10, 2020 |
| Certified by provider | Dec 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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