Individual provider Active NPI

H Jill Nutter, LISW-S

  • Clinical Social Worker
  • Blue Ash, OH
National Provider Identifier
1891219895
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0001824-SUPV Issued in OH
Practice address
11161 Kenwood Rd
Blue Ash, OH 45242-1817
Phone
(513) 769-4600
Fax
(513) 769-0304
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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.0001824-SUPV OH Primary

Addresses

Primary practice location

11161 Kenwood Rd
Blue Ash, OH 45242-1817

Mailing address

918 Springfield Pike
Cincinnati, OH 45215-2635
Phone (513) 382-8199

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
I20201001002356 OH Practitioner - Clinical Social Worker 8527487073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lifeway Counseling Centers IncGroup PAC ID 8729036033, 12 clinicians

Practice addresses (Care Compare)

11161 Kenwood Rd
Blue Ash, OH 45242-1817
Phone (513) 769-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Counseling Centers, Inc. CurrentSince Sep 1, 2020 Accepting new patients

Locations

11161 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 769-4600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1891219895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152635",
            "telephone_number": "513-382-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-769-4600",
            "fax_number": "513-769-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "H JILL",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0001824-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.