Mary Wills, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1600799 Issued in OH

Practice address

2322 E 22ND St Ste 200
Cleveland, OH 44115-3100

Phone

(216) 363-2570

NPI assigned

Sep 13, 2016

Last updated

Oct 27, 2021By 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

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stvbehavioralhealth@1087.direct.myezyaccess.com

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.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  OH

  Medicare reassignment Care Compare group NPD
• Signature Health, Inc.

  • Mental Health Counselor
  • Garfield Heights, OH
  • NPI 1679767289
  Medicare reassignment NPD
• St Vincent Charity Medical Center

  dba St Vincent Charity Community Health Center

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1902529985

  Social Worker

  Medicare reassignment NPD
• Outreach Professional Services Inc

  dba St Vincent Medical Group

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1134119829
  NPD
• Outreach Professional Services, Inc

  dba St Vincent Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1104371640
  NPD
• Signature Health Inc

  dba Signature Health

  • Long Term Care Pharmacy
  • Willoughby, OH
  • NPI 1740502335
  NPD
• Signature Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Willoughby, OH
  • NPI 1477575348
  NPD
• St Vincent Charity Medical Center

  dba St Vincent Charity Community Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cleveland, OH
  • NPI 1164131777
  NPD

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1497203053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-363-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153100",
            "telephone_number": "216-363-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "MARY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directmob200@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2322 E 22nd St Ste 200",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willow Park Convalescent Home,Inc.
• Cheryl Wills, MD
• Courtney Lynn Wills
• Danielle Wills
• Eddie Wills Jr., M.D.
• Noah Wilmot
• Bradley Ryan Wilsmore, MBBS PHD
• Wilson Mobility LLC
• Deanne E Wilson-Costello, MD
• Shirley Ann Wilson-Jordan, CPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.