MR. JOHN JEFFREY WILLIS LCSW
NPI 1174560189
Social Worker - Clinical in Richmond, VA
About Mr. John Jeffrey Willis Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN JEFFREY WILLIS LCSW (NPI 1174560189) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904002484) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. John Jeffrey Willis Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Willis's NPI number?
The NPI number for John Willis is 1174560189. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is John Willis located?
John Willis practices at 9244 St Charles Cir, Richmond, VA 23235. The listed phone number is (804) 874-5393.
What is John Willis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is John Willis enrolled in Medicare?
Yes. John Willis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does John Willis accept?
Health plans from Providence Health Plan list John Willis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Willis was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. John Jeffrey Willis, LCSW · NPI 1174560189
Clinical provider in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1174560189 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904002484 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9244 ST CHARLES CIR, Richmond, VA 23235-2413
- **Phone:** (804) 874-5393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** June 25, 2026
- **Other identifiers:** Medicaid 008937346 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174560189) · Data from the CMS NPPES public registry.