Decatur Mindfulness and Psychotherapy LLC
NPI 1528425717ActiveOrganization· Social Worker, Clinical· Decatur, GA
Social Worker, Clinical in Decatur, Georgia, registered in NPPES in January 2016. The authorized official on file is Rebeca Anne, MDIV, MSW, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528425717 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2016 |
| Last updated in NPPES | Dec 15, 2016 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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