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TANYA M LILLY MSW, LICSW
NPI 1255547816
Social Worker - Clinical in Columbus, OH

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
800 N HIGH ST, COLUMBUS, OH 43215(866) 280-0260 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2026, Apr 27, 2026, Feb 4, 2022 (3 updates tracked since 2022).

About Tanya M Lilly Msw, Licsw NPPES

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

TANYA M LILLY MSW, LICSW (NPI 1255547816) is an individual clinical provider in Columbus, Ohio, licensed in West Virginia (DP00942563) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255547816
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTANYA M LILLYCredential: MSW, LICSW
Location Address800 N HIGH STColumbus, OH 43215-1430
Mailing Address131 Burkholder StOak Hill, WV 25901-2401 · (304) 890-7573
Phone(866) 280-0260
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1255547816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WV · DP00942563✔ Licensed in OH · I.2607934
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.
800 N HIGH ST, Columbus, OH 43215
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11824 Murdoch Ave Bldg CParkersburg, WV 26101-3230 · Phone (304) 916-1881
Location 2550 N Eisenhower Dr Apt ABeckley, WV 25801-3109 · Phone (304) 254-9610
Location 31073 Arbuckle RdSummersville, WV 26651-1745 · Phone (304) 362-0295
Location 42146 Southgate Pkwy Ste 5Cambridge, OH 43725-3096 · Phone (740) 370-6404

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance 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 and accepts Medicare assignment

Tanya M Lilly Msw, Licsw 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.

PECOS PAC ID8022314913
PECOS Enrollment IDI20160302001032
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 Reassignments

2

Medicare enrollment records show Tanya Lilly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grace Medical Group, LLC
91 mi
Family
1824 MURDOCH AVE BLDG C
Parkersburg, WV 26101
  • Reassigned Medicare billing, West Virginia enrollment
  • 9 clinicians in this Medicare group
NPI 1376172494 (304) 916-1881
St. Joseph Recovery Center, LLC
91 mi
Rehabilitation, Substance Use Disorder
1824 MURDOCH AVE BLDG C
Parkersburg, WV 26101
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 9 clinicians in this Medicare group
NPI 1174021406 (304) 916-1881

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 43215 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UPWARD HEALTH OF OHIO LLC
General Practice
800 N HIGH ST
COLUMBUS, OH 43215
Franklin County (888) 985-5455
UPWARD HEALTH OF OHIO INC.
General Practice
800 N HIGH ST
COLUMBUS, OH 43215
Franklin County (833) 342-1454

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 Tanya Lilly's NPI number?

The NPI number for Tanya Lilly is 1255547816. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Tanya Lilly located?

Tanya Lilly practices at 800 N High St, Columbus, OH 43215. The listed phone number is (866) 280-0260.

What is Tanya Lilly's specialty?

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

Is Tanya Lilly enrolled in Medicare?

Yes. Tanya Lilly 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.

Which organizations bill Medicare for Tanya Lilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Lilly reassigns Medicare benefits to 2 organizations: Grace Medical Group, LLC (Parkersburg, WV) and St. Joseph Recovery Center, LLC (Parkersburg, WV). Each 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 Tanya Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Lilly accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Tanya Lilly 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 Tanya Lilly was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.