Active NPI
Jennifer Lynn Williams, MSW, LSW, CSAYC
- Social Worker
- Dayton, OH
National Provider Identifier
1013432699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.2506268
- Practice address
- 1349 E Stroop Rd
Dayton, OH 45429-4925 - Phone
- (937) 293-8300
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.2506268 | OH | |
| Social Worker | 104100000X | I.2506268 | OH | Primary |
Addresses
Primary practice location
1349 E Stroop Rd
Dayton, OH 45429-4925
Mailing address
1220 S 5TH St
Richmond, IN 47374-6814
Phone (937) 293-8300
Other practice location 1
3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 293-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
Other names 1
- Ms. Jennifer L Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 Metro PL N
Suite 300
Dublin, OH 43017-5320
Phone (855) 289-1722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2506268 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Community Inc. | Current | Accepting new patients | |
| South Community Inc | Current | Accepting new patients |
Locations
1349 E Stroop Rd
Kettering, OH 45429
Phone (937) 293-1115
3095 Kettering Blvd
Moraine, OH 45439
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moraine, OH
- NPI 1427289818
-
- Community/Behavioral Health Agency
- Dublin, OH
- NPI 1942451216
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moraine, OH
- NPI 1639128176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1013432699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 S 5TH ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473746814",
"telephone_number": "937-293-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 E STROOP RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454294925",
"telephone_number": "937-293-8300"
}
],
"practiceLocations": [
{
"address_1": "3095 Kettering Blvd",
"address_purpose": "LOCATION",
"city": "Moraine",
"state": "OH",
"postal_code": "454391983",
"country_code": "US",
"telephone_number": "937-293-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "MSW, LSW, CSAYC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2506268",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.2506268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WILLIAMS",
"middle_name": "L",
"prefix": "MS.",
"credential": "MSW, LSW, CSAYC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.