Integrative Therapies Walla Walla, LLC
NPI 1609331206ActiveOrganization· Social Worker, Clinical· Walla Walla, WA
Social Worker, Clinical in Walla Walla, Washington, registered in NPPES in February 2019. The authorized official on file is Elise Oconnell, LICSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1609331206 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2019 |
| Last updated in NPPES | Jul 26, 2019 |
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 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) | Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (WA) |
|---|
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