Geodes, Anxiety and Trauma Clinic, LLC
NPI 1861876468ActiveOrganization· Social Worker, Clinical· Midland, MI
Social Worker, Clinical in Midland, Michigan, registered in NPPES in July 2015. The authorized official on file is Nicole Lynette Bourlakas-Maurer, LMSW, CBIS, Owner, Clinical Social Worker. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861876468 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2015 |
| Last updated in NPPES | Aug 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801085334 | MI |
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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