Frederick Elias Persiko, M DIV., CACITI
NPI 1730320557ActiveIndividual· Social Worker· Basalt, CO
Social Worker (M DIV., CACITI) in Basalt, Colorado, licensed in MI and CO, with an NPI issued in March 2009.
Overview
| NPI | 1730320557 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M DIV., CACITI |
| Sole proprietor | No |
| NPI issued | Mar 9, 2009 |
| Last updated in NPPES | Mar 9, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 6807010854 | MI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 2810 | CO |
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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