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Kenneth L. Willis , LSW

Social Worker β€’ Youngstown, OH

Active NPI 1992438808 Individual Practitioner Male Practitioner
Practice location in NPPES

550 W Chalmers Ave
Youngstown, OH 445111576

Call 3307970070 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

550 W Chalmers Ave

Youngstown, OH 445111576

Telephone 3307970070
Organization at the Same NPPES Address or Phone
Meridian Healthcare Facility NPI 1841164365

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 Youngstown, 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.

NPI first issued

2022

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 Youngstown and Ohio

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Youngstown

0% of these 124 clinicians have the CMS telehealth indicator.

2.4% of these 124 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: 2023-01-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.0800008

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

NUCC Taxonomy Code: 104100000X

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.

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

Secondary Practice Locations

527 N Meridian Rd

Youngstown, OH 445091227

Phone: 3307970070

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
NPI 1114476967

Doctor of Chiropractic, ACUP

NPI 1023745916

Registered Nurse, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location January 06, 2023

Registered at 550 W CHALMERS AVE, YOUNGSTOWN, OH 445111576 (Tel: 3307970070)

πŸ“
Updated Business Mailing Address January 06, 2023

Registered at 527 N MERIDIAN RD, YOUNGSTOWN, OH 445091227 (Tel: 3307970070)

βœ…
NPI Profile Active July 07, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 07, 2022

Registered at 2151 RUSH BLVD, YOUNGSTOWN, OH 445071535 (Tel: 3307441181)

πŸ“
Business Mailing Address (Initial Record) July 07, 2022

Registered at NEIL KENNEDY RECOVERY CENTERS, 2151 RUSH BOULEVARD, YOUNGSTOWN, OH 44507 (Tel: 3307441181)

πŸ‘€
Provider Name / Credentials (Initial Record) July 07, 2022

Recorded as KENNETH WILLIS, LSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2022

Social Worker

🟒
Initial NPI Registration & Enumeration July 07, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992438808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2022
Last Update: January 06, 2023
Sole Proprietor: No

Mailing Address

527 N Meridian Rd

Youngstown, OH 445091227

Phone: 3307970070

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.