Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Micah Wallace , CDCA

Case Manager/Care Coordinator β€’ Cincinnati, OH

Active NPI 1548934227 Individual Practitioner Male Practitioner
Practice location in NPPES

909 Sycamore St
Cincinnati, OH 452021305

Call 5135589006 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

909 Sycamore St

Cincinnati, OH 452021305

Telephone 5135589006
Fax 5135583880
Organization at the Same NPPES Address or Phone
Central Clinic Forensic Services Facility NPI 1508979444

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cincinnati and Ohio

3,831 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Cincinnati, OH (35,328 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cincinnati

0% of these 3,831 clinicians have the CMS telehealth indicator.

0% of these 3,831 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-08
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES OH 181021

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Cdca
181021 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Linda Chernus , MSW

Social Worker - Clinical

NPI 1710099320

Master of Social Work

Angelita Cook , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083365621

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 08, 2022

Recorded as MICAH WALLACE, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2022

Case Manager/Care Coordinator (license number reported to NPPES: OH 181021)

βœ…
NPI Profile Active August 05, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2021

Registered at 909 SYCAMORE ST, CINCINNATI, OH 452021305 (Tel: 5135589006)

πŸ“
Business Mailing Address (Initial Record) August 05, 2021

Registered at 311 ALBERT SABIN WAY, CINCINNATI, OH 452292838 (Tel: 5135589006)

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2021

Recorded as MICAH WALLACE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration August 05, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1548934227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2021
Last Update: July 08, 2022
Sole Proprietor: No

Mailing Address

311 Albert Sabin Way

Cincinnati, OH 452292838

Phone: 5135589006

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.