Individual provider Active NPI

Joy L Witwer, LISW-SUPV

  • Clinical Social Worker
  • Centerville, OH
National Provider Identifier
1629321005
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0008404-SUPV Issued in OH
Practice address
93 W Franklin St Ste 105
Centerville, OH 45459-4761
Phone
(937) 602-0501
Fax
(937) 249-6727
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 I0008404-SUPV OH Primary

Addresses

Primary practice location

93 W Franklin St Ste 105
Centerville, OH 45459-4761

Mailing address

93 W Franklin St Ste 105
Centerville, OH 45459-4761
Phone (937) 602-0501

Other names 1

  • Joy Lynn Volle Former name

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
I20121210000301 OH Practitioner - Clinical Social Worker 6507018041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

93 W Franklin St
Suite 105
Centerville, OH 45459-4761
Phone (937) 602-0501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0008404-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Get Centered Counseling & Consultation LLC CurrentSince Oct 31, 2023 Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Oct 15, 2012 Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Oct 15, 2012 Accepting new patients
Hearthstone Psychology LLC CurrentSince Dec 1, 2021 Accepting new patients
Samaritan Behavioral Health, Inc. Current Accepting new patients

Locations

601 S Edwin C Moses Blvd
Fl 4
Dayton, OH 45417
Phone (937) 734-8333

93 W Franklin St
Ste 105
Dayton, OH 45459
Phone (937) 602-0501

3085 Woodman Dr
Ste 240
Kettering, OH 45420
Phone (937) 266-5006

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/

Organizations & group practices 5

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": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1629321005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 W FRANKLIN ST STE 105",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594761",
            "telephone_number": "937-602-0501",
            "fax_number": "937-249-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W FRANKLIN ST STE 105",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594761",
            "telephone_number": "937-602-0501",
            "fax_number": "937-249-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITWER",
        "first_name": "JOY",
        "middle_name": "L",
        "credential": "LISW-SUPV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008404-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "VOLLE",
            "middle_name": "LYNN",
            "credential": "LISW-SUPV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.