Nanette Willis, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0019534 Issued in OH

Practice address

419 Vernon St
Ironton, OH 45638-1637

Phone

(740) 479-5120

Fax

(740) 529-1400

NPI assigned

Jan 8, 2007

Last updated

Jul 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nanette Marie Felty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/IBDDBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Guidance Center

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1356505358
  NPD (past)
• Il-Cao Family Guidance Center

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1588824064
  NPD (past)
• Phoenix Group Home, LLC

  dba PATH Integrated Healthcare

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1083146013
  NPD (past)
• Phoenix Group Home, LLC

  dba Path Behavioral Health- SUD

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1336654854
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1396893434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 VERNON ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381637",
            "telephone_number": "740-479-5118",
            "fax_number": "740-532-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 VERNON ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381637",
            "telephone_number": "740-479-5120",
            "fax_number": "740-529-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "NANETTE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0019534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278687",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANETTE",
            "last_name": "FELTY",
            "middle_name": "MARIE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Wilds, LSW
• Lisa J Wilhelm
• Shirley M Wilks, CDCA
• Brooke Williams, DDS
• Lorna Ann Willis, RN
• Chasity Wilson
• Cody Wilson, CDCA
• Dottie Wilson, CDCA.174182
• Holly M Wilson, LMT
• John D. Wilson, LSW

• Social Worker in Ironton, OH
• Providers in Ironton, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.