Authentic Self Therapy, LLC
NPI 1700462702ActiveOrganization· Social Worker, Clinical· Lapeer, MI
Social Worker, Clinical in Lapeer, Michigan, registered in NPPES in March 2021. The authorized official on file is Erin Cavanaugh, LMSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700462702 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2021 |
| Last updated in NPPES | Feb 15, 2024 |
| Certified by provider | Feb 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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