Waxwing Psychotherapy Limited Liability Partnership
NPI 1669941936ActiveOrganization· Social Worker, Clinical· Polson, MT
Social Worker, Clinical in Polson, Montana, registered in NPPES in November 2018. The authorized official on file is Samuel Ore, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669941936 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2018 |
| Last updated in NPPES | Jun 5, 2020 |
| Certified by provider | Jun 5, 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 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 (MT) |
|---|
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