Maple Tree Wellness, LLC
NPI 1962950865ActiveOrganization· Social Worker, Clinical· La Crosse, WI
Social Worker, Clinical in La Crosse, Wisconsin, registered in NPPES in September 2016. The authorized official on file is Lauren Gourley, LCSW, Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962950865 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2016 |
| Last updated in NPPES | Aug 8, 2022 |
| Certified by provider | Aug 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 8384-123 | WI |
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) |
|---|
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