Clinical Healing Center LLC
NPI 1790477099ActiveOrganization· Social Worker, Clinical· Mount Clemens, MI
Social Worker, Clinical in Mount Clemens, Michigan, registered in NPPES in May 2023. The authorized official on file is Timothy Lee Weaver, LMSW, CAADC, Clinician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790477099 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2023 |
| Last updated in NPPES | Dec 15, 2023 |
| Certified by provider | Dec 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — | — |
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 (MI) |
|---|
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