Open Space Therapy LLC
NPI 1649892084ActiveOrganization· Social Worker, Clinical· East Hartford, CT
Social Worker, Clinical in East Hartford, Connecticut, registered in NPPES in May 2020. The authorized official on file is Jocelyn Flores, LCSW, Chief Executive Officer.
Overview
| NPI | 1649892084 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2020 |
| Last updated in NPPES | Jun 9, 2020 |
| Certified by provider | Jun 9, 2020 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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