Spruce Creek Mental Health Services, LLC
NPI 1669710273ActiveOrganization· Social Worker, Clinical· Port Orange, FL
Social Worker, Clinical in Port Orange, Florida, registered in NPPES in January 2013. The authorized official on file is Edward C. King, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669710273 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2013 |
| Last updated in NPPES | Feb 1, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW10520 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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