Individual provider Active NPI

Dennis Michael Moell Jr.

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1376899377
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1302810S Issued in OH
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

Updated by the provider on Jan 18, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161230001632 OH Practitioner - Clinical Social Worker 5092096214 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
I1302810SOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Outlook Counseling, LLC CurrentSince Dec 3, 2025 Accepting new patients
Child Focus Inc CurrentSince Jan 1, 2017 Accepting new patients
Oceans Ark Counseling LLC CurrentSince Feb 24, 2021 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.

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

Verify at the official NPI Registry.