Wellspring Life Center, LLC
NPI 1518661305ActiveOrganization· Social Worker, Clinical· Euclid, OH
Social Worker, Clinical in Euclid, Ohio, registered in NPPES in March 2023. The authorized official on file is Tamika Moore, LISW-S, Clinical Director.
Overview
| NPI | 1518661305 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2023 |
| Last updated in NPPES | Mar 28, 2023 |
| Certified by provider | Mar 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
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 |
|---|
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