Individual provider Active NPI

Lynne M Routsong-Wiechers, MSW, LISW

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1659453165
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I8167 Issued in OH
Practice address
8940 Kingsridge Dr
Ste 106
Dayton, OH 45458-1632
Phone
(937) 432-9130
Fax
(937) 432-9169
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 I8167 OH Primary

Addresses

Primary practice location

8940 Kingsridge Dr
Ste 106
Dayton, OH 45458-1632

Mailing address

8940 Kingsridge Dr
Ste 106
Dayton, OH 45458-1632
Phone (937) 432-9130

Other identifiers 1

IdentifierTypeStateIssuer
000000297240OtherOHANTHEM BC/BS

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
I20150216001735 OH Practitioner - Clinical Social Worker 1951626977 Reassigns benefits to 1 organization
Practice locations: Dayton, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Counseling Centers of OhioGroup PAC ID 1759798366, 10 clinicians

Practice addresses (Care Compare)

8940 Kingsridge Dr
Suite 106
Dayton, OH 45458-1632
Phone (937) 813-4485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I8167OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Counseling Centers of Ohio CurrentSince Oct 16, 2020 Accepting new patients
Dene S Berman Lifespan Counseling Associates Clinical Past Accepting new patients

Locations

8940 Kingsridge Dr
Ste 106
Dayton, OH 45458
Phone (937) 432-9130

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8833/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1659453165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 KINGSRIDGE DR",
            "address_2": "STE 106",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581632",
            "telephone_number": "937-432-9130",
            "fax_number": "937-432-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 KINGSRIDGE DR",
            "address_2": "STE 106",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581632",
            "telephone_number": "937-432-9130",
            "fax_number": "937-432-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTSONG-WIECHERS",
        "first_name": "LYNNE",
        "middle_name": "M",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I8167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000297240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.