Individual provider Active NPI

Karrah Nicole Wills, MSW, LISW

  • Clinical Social Worker
  • Mason, OH
National Provider Identifier
1093167140
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1801104 Issued in OH
Practice address
8479 S Mason Montgomery Rd Ste 4
Mason, OH 45040-4005
Phone
(513) 443-8139
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1801104 OH Primary

Addresses

Primary practice location

8479 S Mason Montgomery Rd Ste 4
Mason, OH 45040-4005

Mailing address

4629 Aicholtz Road
Cincinnati, OH 45244
Phone (513) 732-8800

Other names 1

  • Karrah Nicole Wills Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201023000251 OH Practitioner - Clinical Social Worker 8123448552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child Focus Inc CurrentSince Jul 22, 2020 Accepting new patients

Locations

4629 Aicholtz Rd
Cincinnati, OH 45244
Phone (513) 732-8800

4633 Aicholtz Rd
Cincinnati, OH 45244

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1093167140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 AICHOLTZ ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45244",
            "telephone_number": "513-732-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8479 S MASON MONTGOMERY RD STE 4",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450404005",
            "telephone_number": "513-443-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "KARRAH",
        "middle_name": "NICOLE",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARRAH",
            "last_name": "WILLS",
            "middle_name": "NICOLE",
            "credential": "MSW, LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.