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LORETTA E. BUCKWALTER
NPI 1194337022
Social Worker - Clinical in Springfield, OH

Active since August 21, 2020PECOS Enrolled
4401 RIDGEWOOD RD W, SPRINGFIELD, OH 45503(937) 532-3379 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2023, Mar 7, 2023, Aug 21, 2020 (3 updates tracked since 2020).

About Loretta E. Buckwalter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORETTA E. BUCKWALTER (NPI 1194337022) is an individual clinical provider in Springfield, Ohio, licensed in Ohio (I.0008495-SUPV) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194337022
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLORETTA E. BUCKWALTER
Location Address4401 RIDGEWOOD RD WSpringfield, OH 45503-6131
Mailing Address4401 Ridgewood Rd WSpringfield, OH 45503-6131 · (937) 532-3379
Phone(937) 532-3379
Sole ProprietorYes
Enumeration DateAugust 21, 2020
Last NPPES UpdateApril 6, 20233 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1194337022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.0008495-SUPV
Definition
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.
4401 RIDGEWOOD RD W, Springfield, OH 45503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loretta E. Buckwalter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Loretta Buckwalter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,001 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Loretta Buckwalter's NPI number?

The NPI number for Loretta Buckwalter is 1194337022. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is Loretta Buckwalter located?

Loretta Buckwalter practices at 4401 Ridgewood Rd W, Springfield, OH 45503. The listed phone number is (937) 532-3379.

What is Loretta Buckwalter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Loretta Buckwalter enrolled in Medicare?

Yes. Loretta Buckwalter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Loretta Buckwalter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Buckwalter reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Loretta Buckwalter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loretta Buckwalter accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Loretta Buckwalter 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 Loretta Buckwalter was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.