Innovative State of Mind LLC
NPI 1881225167ActiveOrganization· Social Worker, Clinical· Salisbury, MD
Social Worker, Clinical in Salisbury, Maryland, registered in NPPES in January 2020. The authorized official on file is Theresa M. Huffines, LCSW-C, Sole Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1881225167 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2020 |
| Last updated in NPPES | Jan 27, 2020 |
| Certified by provider | Jan 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 (FL); Part B Supplier - Clinic/Group Practice (MD) |
|---|
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