Peaceful Foundations Wellness Center LLC
NPI 1720972219ActiveOrganization· Social Worker, Clinical· North Charleston, SC
Social Worker, Clinical in North Charleston, South Carolina, registered in NPPES in June 2025. The authorized official on file is Tasha M. Frederick, LISW-CP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720972219 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2025 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
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 (SC) |
|---|
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