Safe Harbor Health, LLC
NPI 1861079816ActiveOrganization· Social Worker, Clinical· Verona, WI
Social Worker, Clinical in Verona, Wisconsin, registered in NPPES in March 2021. The authorized official on file is Jaclyn Sue Slesareva, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861079816 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2021 |
| Last updated in NPPES | Feb 5, 2026 |
| Certified by provider | Feb 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
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 (WI) |
|---|
Other clinical social workers in Verona
- 1336616523
- 1356763411
- 1326782673
- 1427549815
- 1477370427
- 1790393395
- 1437860855
- 1134503162
- 1841698180
- 1679408124
- 1508826645
- 1194810515
All 16 clinical social workers in Verona · All clinical social workers in Wisconsin