Family Life Mental Health Center
NPI 1760489751ActiveOrganization· Social Worker, Clinical· Coon Rapids, MN
Social Worker, Clinical in Coon Rapids, Minnesota, registered in NPPES in July 2005. The authorized official on file is Robert Sullivan, LICSW, Executive Director.
Overview
| NPI | 1760489751 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 8 | MN |
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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