Advanced Community Services LLC
NPI 1558860239ActiveOrganization· Social Worker, Clinical· Charlotte, NC
Social Worker, Clinical in Charlotte, North Carolina, registered in NPPES in February 2018. The authorized official on file is Kimberly Penny, Executive Director.
Overview
| NPI | 1558860239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2018 |
| Last updated in NPPES | Apr 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | NC |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | NC |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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