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NPI 1659995330ActiveOrganization· Social Worker, Clinical· Decatur, GA

Social Worker, Clinical in Decatur, Georgia, registered in NPPES in May 2020. The authorized official on file is Makoto Ikegami, DSW, LCSW, MSW, Ceo/President.

Overview

NPI1659995330
StatusActive
Entity typeOrganization
NPI issuedMay 29, 2020
Last updated in NPPESDec 21, 2023
Certified by providerDec 21, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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 Decatur

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