Star June
NPI 1932735438ActiveIndividual· Social Worker, Clinical· Shelby, OH
Social Worker, Clinical with Third Street Community Clinic, Inc., practicing in Shelby, Ohio. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1932735438 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 16, 2020 |
| Last updated in NPPES | Apr 10, 2024 |
| Certified by provider | Apr 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.2405319 | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CDCA.170834 | OH |
| Social Worker | 104100000X | S.2005160 | OH |
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 Practitioner - Clinical Social Worker (OH) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Third Street Community Clinic, Inc.Mansfield, OH · 29 clinicians
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