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Little House on Mackinaw, LLC

NPI 1639831993ActiveOrganization· Social Worker, Clinical· Bay City, MI

Social Worker, Clinical in Bay City, Michigan, registered in NPPES in October 2021. The authorized official on file is Diane Kukulis, LMSW, Sole Member.

Overview

NPI1639831993
StatusActive
Entity typeOrganization
NPI issuedOct 13, 2021
Last updated in NPPESOct 13, 2021
Certified by providerOct 13, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Social Worker, Clinical providers in Bay City

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