Individual provider Active NPI

Michelle K Duncan, L.I.C.D.C., L.I.S.W

  • Clinical Social Worker
  • Lancaster, OH
National Provider Identifier
1154864197
Registry record updated May 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1801304 Issued in OH
Practice address
2670 N Columbus St Ste G
Lancaster, OH 43130-8408
Phone
(740) 901-1231
Fax
(740) 901-3021
NPI assigned
Nov 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 101110 OH
Clinical Social Worker 1041C0700X 1801304 OH Primary

Addresses

Primary practice location

2670 N Columbus St Ste G
Lancaster, OH 43130-8408

Mailing address

2670 N Columbus St Ste G
Lancaster, OH 43130-8408
Phone (740) 901-1231

Other practice location 1

2697 Wittenberg Dr
Lancaster, OH 43130-8832
Phone (614) 668-5991

Other practice location 2

115 W Wheeling St Ste H
Lancaster, OH 43130-3708
Phone (740) 901-3021

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
I20260415001364 OH Practitioner - Clinical Social Worker 6204197452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2670 N Columbus St
Suite G
Lancaster, OH 43130-8408

2697 Wittenberg Dr
Lancaster, OH 43130-8832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101110OHMDAddiction (Substance Use Disorder) Counselor
1801304OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Counseling Services LLC Clinical CurrentSince Dec 1, 2019 Accepting new patients

Locations

115 W Wheeling St
Ste H
Lancaster, OH 43130
Phone (740) 901-3021

2670 N Columbus St
Ste G
Lancaster, OH 43130
Phone (740) 901-1231

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": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1154864197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 N COLUMBUS ST STE G",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308408",
            "telephone_number": "740-901-1231",
            "fax_number": "740-901-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 N COLUMBUS ST STE G",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308408",
            "telephone_number": "740-901-1231",
            "fax_number": "740-901-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2697 Wittenberg Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431308832",
            "country_code": "US",
            "telephone_number": "614-668-5991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W Wheeling St Ste H",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303708",
            "country_code": "US",
            "telephone_number": "740-901-3021",
            "fax_number": "740-901-3021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "L.I.C.D.C., L.I.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "101110",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1801304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.