Individual provider Active NPI

Ann Marie Kennedy, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1225331663
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0009445 Issued in OH
Practice address
1070 College Ave
Columbus, OH 43209-2374
Phone
(614) 309-1576
Fax
(614) 921-0948
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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 0009445 OH Primary

Addresses

Primary practice location

1070 College Ave
Columbus, OH 43209-2374

Mailing address

1070 College Ave
Columbus, OH 43209-2374
Phone (614) 309-1576

Other names 1

  • Ann Marie McIlroy Professional 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
I20110301000622 OH Practitioner - Clinical Social Worker 6204017999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0009445OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc CurrentSince Dec 23, 2018 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Dec 23, 2018 Accepting new patients
Limitless Counseling Services LLC Clinical Past Accepting new patients
Jewish Family Services PastSince Jun 8, 2015 Accepting new patients

Locations

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

1153 E Main St
Lancaster, OH 43130
Phone (740) 687-8990

Organizations & group practices 4

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": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1225331663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 COLLEGE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092374",
            "telephone_number": "614-309-1576",
            "fax_number": "614-921-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 COLLEGE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092374",
            "telephone_number": "614-309-1576",
            "fax_number": "614-921-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0009445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "MCILROY",
            "middle_name": "MARIE",
            "credential": "LISW-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.