Lake City Counseling Center LLC
NPI 1720513963ActiveOrganization· Social Worker, Clinical· Hayden, ID
Social Worker, Clinical in Hayden, Idaho, registered in NPPES in April 2017. The authorized official on file is Jennifer Rian Tuttle, Owner.
Overview
| NPI | 1720513963 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2017 |
| Last updated in NPPES | Jul 6, 2020 |
| Certified by provider | Jul 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 |
|---|
Other clinical social workers in Hayden
- 1093495814
- 1205776093
- 1215503933
- 1316783269
- 1578329777
- 1689397804
- 1831806124
- 1285985101
- 1477009041
- 1851026090
- 1851583389
- 1376905166
All 32 clinical social workers in Hayden · All clinical social workers in Idaho