Individual provider Active NPI

Nicole J Wells, LISW

  • Clinical Social Worker
  • Liberty Township, OH
National Provider Identifier
1114538816
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203956-SUPV Issued in OH
Practice address
6939 Cox Rd Ste 360
Liberty Township, OH 45069-7595
Phone
(513) 564-6800
Fax
(513) 564-6815
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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.2203956-SUPV OH Primary

Addresses

Primary practice location

6939 Cox Rd Ste 360
Liberty Township, OH 45069-7595

Mailing address

2139 Auburn Avenue
Attn: Payor Enrollment 4-7
Cincinnati, OH 45219
Phone (513) 351-9900

Other practice location 1

7589 Tylers Place Blvd
West Chester, OH 45069-6308
Phone (513) 755-4700

Other practice location 2

8989 Winton Rd Ste 100
Cincinnati, OH 45231-3817
Phone (513) 761-2776

Other practice location 3

7335 Yankee Rd Ste 201
Liberty Township, OH 45044-1253
Phone (513) 564-6818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200911001810 IN Practitioner - Clinical Social Worker 4385062074 Reassigns benefits to 1 organization
I20231006002349 OH Practitioner - Clinical Social Worker 4385062074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

3248 Westbourne Dr
Cincinnati, OH 45248-5140
Phone (513) 674-1400

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2203956-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Clinical CurrentSince Jan 7, 2025 Accepting new patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
Trihealth H LLC CurrentSince Jan 2, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 29, 2023 Accepting new patients
Christ Hospital Medical Specialists LLC Clinical PastSince Nov 18, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

3248 Westbourne Dr
Cincinnati, OH 45248
Phone (513) 389-1400

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

2139 Auburn Ave
#47
Cincinnati, OH 45219

6949 Good Samaritan Dr
Cincinnati, OH 45247
Phone (513) 246-9800

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

6939 Cox Rd
Ste 360
Liberty Township, OH 45069
Phone (513) 564-6800

7335 Yankee Rd
Ste 201
Liberty Township, OH 45044
Phone (513) 564-6818

7589 Tylers Place Blvd
West Chester, OH 45069
Phone (513) 755-4700

Organizations & group practices 5

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1114538816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVENUE",
            "address_2": "ATTN: PAYOR ENROLLMENT 4-7",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-351-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 COX RD STE 360",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450697595",
            "telephone_number": "513-564-6800",
            "fax_number": "513-564-6815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7589 Tylers Place Blvd",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450696308",
            "country_code": "US",
            "telephone_number": "513-755-4700",
            "fax_number": "513-755-4717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8989 Winton Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452313817",
            "country_code": "US",
            "telephone_number": "513-761-2776",
            "fax_number": "513-679-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7335 Yankee Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Liberty Township",
            "state": "OH",
            "postal_code": "450441253",
            "country_code": "US",
            "telephone_number": "513-564-6818",
            "fax_number": "513-564-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "NICOLE",
        "middle_name": "J",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203956-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.