Individual provider Active NPI

Kessondra Whitford

  • Clinical Social Worker
  • Bellefontaine, OH
National Provider Identifier
1275000275
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I2204028 Issued in OH
Practice address
4560 County Road 26 Ste 2
Bellefontaine, OH 43311-9532
Phone
(937) 599-1411
Fax
(937) 599-4128
NPI assigned
Oct 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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 I2204028 OH Primary

Addresses

Primary practice location

4560 County Road 26 Ste 2
Bellefontaine, OH 43311-9532

Mailing address

212 E Columbus Ave Ste 1
Bellefontaine, OH 43311-2033
Phone (937) 599-1411

Other identifiers 1

IdentifierTypeStateIssuer
5440MedicaidOH

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
I20230117000689 OH Practitioner - Clinical Social Worker 9234500935 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I2204028OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TCN Behavioral Health Services, Inc. Social Worker CurrentSince Oct 5, 2022 Accepting new patients
Community Health & Wellness Partners of Logan County CurrentSince Dec 24, 2023 Accepting new patients
Community Health & Wellness Partners of Logan County Current Accepting new patients
Community Health & Wellness Partners of Logan County CurrentSince Dec 24, 2023 Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients
Community Health & Wellness Partners of Logan County Past Accepting new patients

Locations

212 E Columbus Ave
Ste 1
Bellefontaine, OH 43311
Phone (937) 599-1511

4560 County Road 26
Ste 2
Bellefontaine, OH 43311

8920 County Road 91
Ste 2
Lewistown, OH 43333

8200 State Route 366
Ste 1
Russells Pt, OH 43348
Phone (937) 633-0071

1522 E US Highway 36
#A
Urbana, OH 43078
Phone (937) 471-2956

605 Miami St
Ste 100
Urbana, OH 43078

7208 US Highway 68 N
Ste 2
West Liberty, OH 43357

452 W Market St
Xenia, OH 45385
Phone (937) 376-8744

Organizations & group practices 7

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": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1275000275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E COLUMBUS AVE STE 1",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112033",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 COUNTY ROAD 26 STE 2",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119532",
            "telephone_number": "937-599-1411",
            "fax_number": "937-599-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFORD",
        "first_name": "KESSONDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I2204028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.