Adult & Family Services
NPI 1720130461ActiveOrganization· Social Worker, Clinical· Southgate, MI
Social Worker, Clinical in Southgate, Michigan, registered in NPPES in January 2007. The authorized official on file is Mark Small, MSW, Supervisor.
Overview
| NPI | 1720130461 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2007 |
| Last updated in NPPES | Jun 16, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801060222 | MI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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