Landers Psychotherapy Services LLC
NPI 1851786529ActiveOrganization· Social Worker, Clinical· Brookfield, WI
Social Worker, Clinical in Brookfield, Wisconsin, registered in NPPES in March 2015. The authorized official on file is Jackie Landers, LCSW, CSAC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851786529 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2015 |
| Last updated in NPPES | May 16, 2020 |
| Certified by provider | May 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6864123 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 6864123 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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