Jeremy Whitaker, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

100 River Valley Blvd
New Richmond, OH 45157-8566

Phone

(513) 553-3114

Fax

(513) 553-1032

NPI assigned

Dec 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthsource of Ohio IncGroup PAC ID 2264328749, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeremy.whitaker.p1@direct.hsohio.nextgenshare.com

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.

• Healthsource of Ohio, Inc.

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
  • NPI 1275966863
  Medicare reassignment Care Compare group NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Mt. Orab, OH
  • NPI 1235379819
  NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Seaman, OH
  • NPI 1376612119
  NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Batavia, OH
  • NPI 1891009502
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • New Richmond, OH
  • NPI 1184728230
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Hillsboro, OH
  • NPI 1326142480
  NPD
• Healthsource of Ohio, Inc.

  • Clinic/Center
  • Lebanon, OH
  • NPI 1407288210
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Mount Orab, OH
  • NPI 1437253598
  NPD
• Healthsource of Ohio, Inc.

  • Clinic/Center
  • Blanchester, OH
  • NPI 1528826351
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Georgetown, OH
  • NPI 1700980869
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1780701417
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Washington Court House, OH
  • NPI 1861502452
  NPD

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1144736059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-576-7700",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER VALLEY BLVD",
            "city": "NEW RICHMOND",
            "state": "OH",
            "postal_code": "451578566",
            "telephone_number": "513-553-3114",
            "fax_number": "513-553-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "JEREMY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0405515",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Thompson, FNP-C
• Sarah Jessica Uebel, APRN
• Village of New Richmond
• Mark Welch
• Brittney Wethington, FNP-C
• Women'S Health Partnership, Inc

• Clinical Social Worker in New Richmond, OH
• Providers in New Richmond, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.

Verify at the official NPI Registry.