Individual provider Active NPI

Jennifer Diane Williams, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1912413501
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.100072-SUP Issued in OH
Practice address
8487 Ridge Rd
Cincinnati, OH 45236-1300
Phone
(513) 766-3351
Fax
(513) 766-3358
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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.100072-SUP OH Primary

Addresses

Primary practice location

8487 Ridge Rd
Cincinnati, OH 45236-1300

Mailing address

8487 Ridge Rd
Cincinnati, OH 45236-1300
Phone (513) 766-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.100072-SUPOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Behavioral Health, Inc. Current Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince May 17, 2024 Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince May 17, 2024 Accepting new patients
Jewish Family Service of the Cincinnati Area Clinical PastSince Mar 31, 2024 Accepting new patients

Locations

601 S Edwin C Moses Blvd
Fl 1
Dayton, OH 45417
Phone (937) 224-1694

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

601 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 734-4310

Interoperability endpoints

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

Organizations & group practices 4

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1912413501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8487 RIDGE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361300",
            "telephone_number": "513-766-3351",
            "fax_number": "513-766-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8487 RIDGE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361300",
            "telephone_number": "513-766-3351",
            "fax_number": "513-766-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.100072-SUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.