Balance and Renewal PLLC
NPI 1790645638ActiveOrganization· Social Worker, Clinical· Ammon, ID
Social Worker, Clinical in Ammon, Idaho, registered in NPPES in November 2025. The authorized official on file is Adam Nickell, LCSW, Owner/ Provider.
Overview
| NPI | 1790645638 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2025 |
| Last updated in NPPES | Nov 13, 2025 |
| Certified by provider | Nov 13, 2025 |
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 |
|---|
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All 32 clinical social workers in Ammon · All clinical social workers in Idaho