Authentic Living Lab LLC
NPI 1619841038ActiveOrganization· Social Worker, Clinical· Columbia, SC
Social Worker, Clinical in Columbia, South Carolina, registered in NPPES in September 2025. The authorized official on file is Delsondra Jonell Allen, LISW- CP, Ceo.
Overview
| NPI | 1619841038 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2025 |
| Last updated in NPPES | Sep 30, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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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