Kim Cantrell, LLC
NPI 1700126794ActiveOrganization· Social Worker, Clinical· Rio Rancho, NM
Social Worker, Clinical in Rio Rancho, New Mexico, registered in NPPES in February 2013. The authorized official on file is Kim Cantrell, LISW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700126794 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2013 |
| Last updated in NPPES | Feb 27, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I-06910 | NM |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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