360 Degrees Wellness & Coaching LLC
NPI 1497176523ActiveOrganization· Social Worker, Clinical· Lake Forest, IL
Social Worker, Clinical in Lake Forest, Illinois, registered in NPPES in December 2013. The authorized official on file is Sophia Shlain, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497176523 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2013 |
| Last updated in NPPES | Dec 16, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149.011971 | IL |
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 (IL) |
|---|
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