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Antoinette M Thacker , LISW-S

Social Worker • Hamilton, OH

Active NPI 1750722286 Individual Practitioner Female Practitioner
Practice location in NPPES

1910 Fairgrove Ave Ste E
Hamilton, OH 450111930

Call 5137957557 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

1910 Fairgrove Ave Ste E

Hamilton, OH 450111930

Telephone 5137957557
Fax 5137374603
Organization at the Same NPPES Address or Phone
Modern Psychiatry And Wellness Llc Facility NPI 1225260888

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Cincinnati, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare patients

43 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $4,954 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $3,304 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

NPI first issued

2013

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, “Does 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

Enrolled in Medicare (PECOS)

Antoinette Thacker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Antoinette Thacker as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hamilton and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Social Worker in Ohio (2024, 69 clinicians with data). Median for this group: 137. Middle half: 84 to 186.

Too few clinicians listed under Social Worker in Hamilton have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Social Worker in Ohio (2024, 69 clinicians with data). Median for this group: $12,067. Middle half: $7,753 to $16,809.

Too few clinicians listed under Social Worker in Hamilton have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Social Worker in Ohio (2024, 69 clinicians with data). Median for this group: $9,065. Middle half: $5,574 to $12,707.

Too few clinicians listed under Social Worker in Hamilton have Medicare Part B data for 2024 to compare.

183 active clinicians are listed under Social Worker with a practice address in Hamilton, OH (11,336 in Ohio).

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

Telehealth indicator in Hamilton

1.1% of these 183 clinicians have the CMS telehealth indicator.

3.3% of these 183 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2022–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
40 40 $176.98 $123.86

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH I.1000009-SUPV

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES OH I.1000009-SUPV

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20200902003496

Enrollment State Jurisdiction

OH

PECOS Control ID

5496172504

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

8778 Cottonwood Dr

Cincinnati, OH 452314706

Phone: 5133052218

Clinicians Sharing This Practice Address or Phone

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

3 listed
Cody Ernst , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1386235463

Nurse Practitioner

Bernice Garrison , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1912477589

Psychiatric-Mental Health Nurse Practitioner

Deborah Stevison , CNP

Nurse Practitioner - Adult Health

NPI 1740520402

Certified Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 01, 2022

Registered at 1910 FAIRGROVE AVE STE E, HAMILTON, OH 450111930 (Tel: 5137957557)

📍
Updated Business Mailing Address November 01, 2022

Registered at 8778 COTTONWOOD DR, CINCINNATI, OH 452314706 (Tel: 5133052218)

✅
NPI Profile Active July 12, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 12, 2013

Registered at 3131 HARVEY AVE, SUITE 201, CINCINNATI, OH 452293000 (Tel: 5138610035)

📍
Business Mailing Address (Initial Record) July 12, 2013

Registered at 2600 VICTORY PKWY, CINCINNATI, OH 452061711 (Tel: 5137517747)

👤
Provider Name / Credentials (Initial Record) July 12, 2013

Recorded as ANTOINETTE THACKER, LISW-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2013

Social Worker (license number reported to NPPES: OH I.1000009-SUPV)

🟢
Initial NPI Registration & Enumeration July 12, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750722286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2013
Last Update: November 01, 2022
Sole Proprietor: Yes

Mailing Address

8778 Cottonwood Dr

Cincinnati, OH 452314706

Phone: 5133052218

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.