Willow Grace Wellness Center LLC
NPI 1467020891ActiveOrganization· Social Worker, Clinical· Vestavia Hills, AL
Social Worker, Clinical in Vestavia Hills, Alabama, registered in NPPES in June 2021. The authorized official on file is Tangie Martin Macon, MSW, LICSW, PIP, Therapitst.
Overview
| NPI | 1467020891 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2021 |
| Last updated in NPPES | Jun 13, 2021 |
| Certified by provider | Jun 13, 2021 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other clinical social workers in Vestavia Hills
- 1134717507
- 1194367656
- 1336008259
- 1245524883
- 1972789485
- 1952806044
- 1952994287
- 1063135952
- 1669817870
- 1174215040
- 1194363473
- 1528648714
All 20 clinical social workers in Vestavia Hills · All clinical social workers in Alabama