Ms Connie S Williams, LISW-SUPV - Medicare Clinical Social Worker in Fairborn, OH

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Ms Connie S Williams, LISW-SUPV is a medicare enrolled "Social Worker - Clinical" provider in Fairborn, Ohio. Her current practice location is 302 W Main St, Fairborn, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 281-4673.

Ms Connie S Williams is licensed to practice in Ohio (license number I.0800334-SUPV) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497737050.

Contact Information

Ms Connie S Williams, LISW-SUPV
302 W Main St,
Fairborn, OH 45324-5037
(937) 281-4673
(937) 318-1120

Map and Direction




Healthcare Provider's Profile

Full NameMs Connie S Williams
GenderFemale
SpecialitySocial Worker - Clinical
Location302 W Main St, Fairborn, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497737050
  • Provider Enumeration Date: 11/18/2005
  • Last Update Date: 10/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688012776
  • Enrollment ID: I20240409002460

Medical Identifiers

Medical identifiers for Ms Connie S Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497737050NPI-NPPES
2272231MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LSW S 0005246 (Ohio)Secondary
1041C0700XSocial Worker - Clinical I.0800334-SUPV (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Connie S Williams allows following entities to bill medicare on her behalf.
Entity NameTalbert House
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619900834
PECOS PAC ID: 1951314319
Enrollment ID: O20060801000414

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Connie S Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Connie S Williams, LISW-SUPV
3103 Dixie Hwy,
Hamilton, OH 45015-1653

Ph: (513) 892-4673		Ms Connie S Williams, LISW-SUPV
302 W Main St,
Fairborn, OH 45324-5037

Ph: (937) 281-4673

Reviews and Comments


Social Worker in Fairborn, OH

Renee J Jennings, LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 680 E Dayton Yellow Springs Rd, Fairborn, OH 45324
Phone: 888-390-3800    Fax: 937-390-3804
Julie L Mancy, MSW, LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 188 W Hebble Ave, Fairborn, OH 45324
Phone: 937-754-5911    
Sarah Elizabeth Cadwallader, MSW, LISW-S
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 188 W Hebble Ave, Fairborn, OH 45324
Phone: 513-515-9642    
Mrs. Fayetta Barron, LISW-S, LICDC
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 113 James Dr, Fairborn, OH 45324
Phone: 937-241-9230    
Joshua Nordstrom, LSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2458 Antler Ct, Fairborn, OH 45324
Phone: 847-275-5674    
Tisha Mae Bates, LSW,MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 188 W Hebble Ave, Fairborn, OH 45324
Phone: 937-754-5911    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.