Individual provider Active NPI

William Gingerich, LISW

  • Clinical Social Worker
  • Russells Point, OH
National Provider Identifier
1598999385
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0900068 Issued in OH
Practice address
8200 State Route 366
Ste 2B
Russells Point, OH 43348-9670
Phone
(937) 589-3330
Fax
(815) 346-4059
NPI assigned
May 7, 2009
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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 I.0900068 OH Primary

Addresses

Primary practice location

8200 State Route 366
Ste 2B
Russells Point, OH 43348-9670

Mailing address

221 Fountain PL
Bellefontaine, OH 43311-2205
Phone (937) 593-9600

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
I20100317000385 OH Practitioner - Clinical Social Worker 0840325718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8200 State Route 366
Suite 2B
Russells Point, OH 43348-9670
Phone (937) 589-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0900068OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Trauma Therapy and Counseling Clinical CurrentSince Dec 1, 2019 Accepting new patients

Locations

8200 State Route 366
Ste 2B
Russells Point, OH 43348
Phone (937) 589-3330

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1598999385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 FOUNTAIN PL",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112205",
            "telephone_number": "937-593-9600",
            "fax_number": "937-592-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 STATE ROUTE 366",
            "address_2": "STE 2B",
            "city": "RUSSELLS POINT",
            "state": "OH",
            "postal_code": "433489670",
            "telephone_number": "937-589-3330",
            "fax_number": "815-346-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "WILLIAM",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0900068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russells Point, OH

Sources for this page

Verify at the official NPI Registry.