Individual provider Active NPI

Michael R Difillipo, L.I.S.W.

  • Clinical Social Worker
  • Hamilton, OH
National Provider Identifier
1174774954
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1201369 Issued in OH
Practice address
1490 University Blvd
Hamilton, OH 45011-3305
Phone
(513) 881-7189
Fax
(513) 881-7188
NPI assigned
Oct 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I1201369 OH Primary
Clinical Social Worker 1041C0700X LC12647 ME

Addresses

Primary practice location

1490 University Blvd
Hamilton, OH 45011-3305

Mailing address

1490 University Blvd
Hamilton, OH 45011-3305
Phone (513) 881-7189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, 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
I20101019000384 ME Practitioner - Clinical Social Worker 2365635711 Reassigns benefits to 1 organization
I20181219003518 OH Practitioner - Clinical Social Worker 2365635711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

10200 Alliance Rd
Suite 150
Blue Ash, OH 45242-4754
Phone (513) 975-4673

53 Baxter Blvd
Portland, ME 04101-1827
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
LC12647MEMDClinical Social Worker
I1201369OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Clinical CurrentSince Sep 16, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Jan 1, 2019 Accepting new patients
Spurwink Services Incorporated CurrentSince Mar 17, 2025 Accepting new patients

Locations

143 Pottle Rd
Oxford, ME 04270
Phone (207) 743-7911

53 Baxter Blvd
Ste 3
Portland, ME 04101
Phone (207) 613-4115

53 Baxter Blvd
Portland, ME 04101
Phone (207) 245-1648

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

10200 Alliance Rd
Ste 150
Blue Ash, OH 45242
Phone (513) 563-0488

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Interoperability endpoints

  • Direct secure messaging: pbc.michaeldifillipo@140097.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1174774954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 UNIVERSITY BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113305",
            "telephone_number": "513-881-7189",
            "fax_number": "513-881-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 UNIVERSITY BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113305",
            "telephone_number": "513-881-7189",
            "fax_number": "513-881-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFILLIPO",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-10",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1201369",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.