Black Falls Therapy and Wellness, LLC
NPI 1629822184ActiveOrganization· Social Worker, Clinical· Westampton, NJ
Social Worker, Clinical in Westampton, New Jersey, registered in NPPES in April 2024. The authorized official on file is Kristina M. Odumes, LCSW, CIMHP, Clinic Director.
Overview
| NPI | 1629822184 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2024 |
| Last updated in NPPES | Apr 12, 2024 |
| Certified by provider | Apr 9, 2024 |
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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