Active NPI
Dennis Michael Moell Jr.
- Clinical Social Worker
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I1302810S
- Practice address
- 764 Clough Pike
Cincinnati, OH 45245-1726 - Phone
- (513) 620-4388
- NPI assigned
- Jul 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I1302810S | OH | Primary |
Addresses
Primary practice location
764 Clough Pike
Cincinnati, OH 45245-1726
Mailing address
1004 Kennedys LNDG Unit 3
Cincinnati, OH 45245-5131
Phone (513) 707-2029
Other practice location 1
551 Cincinnati Batavia Pike
Cincinnati, OH 45244-1518
Phone (513) 752-1555
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Cincinnati College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
764 Clough Pike
Cincinnati, OH 45245-1726
Phone (513) 620-4388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I1302810S | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Outlook Counseling, LLC | Current | Accepting new patients | |
| Child Focus Inc | Current | Accepting new patients | |
| Oceans Ark Counseling LLC | Current | Accepting new patients |
Locations
4629 Aicholtz Rd
Cincinnati, OH 45244
Phone (513) 732-8800
4633 Aicholtz Rd
Cincinnati, OH 45244
970 Lila Ave
Milford, OH 45150
Phone (513) 201-5440
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.
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1669438115
-
- Mental Health Counselor
- Milford, OH
- NPI 1831645753
-
- Professional Counselor
- Cincinnati, OH
- NPI 1558951459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1376899377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 KENNEDYS LNDG UNIT 3",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452455131",
"telephone_number": "513-707-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 CLOUGH PIKE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452451726",
"telephone_number": "513-620-4388"
}
],
"practiceLocations": [
{
"address_1": "551 Cincinnati Batavia Pike",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452441518",
"country_code": "US",
"telephone_number": "513-752-1555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOELL",
"first_name": "DENNIS",
"middle_name": "MICHAEL",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I1302810S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.