A Safe Port Counseling LLC
NPI 1982380648ActiveOrganization· Social Worker, Clinical· Saint Augustine, FL
Social Worker, Clinical in Saint Augustine, Florida, registered in NPPES in June 2023. The authorized official on file is Justin Forrest Dement, LCSW, Sole Mbr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982380648 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2023 |
| Last updated in NPPES | Sep 12, 2024 |
| Certified by provider | Sep 12, 2024 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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