MS. CONNIE S WILLIAMS LISW-SUPV
NPI 1497737050
Social Worker - Clinical in Fairborn, OH

Q: What is Connie Williams's NPI number?

The NPI number for Connie Williams is 1497737050. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Q: What is Connie Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Connie Williams was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 18, 2005PECOS Enrolled

302 W MAIN ST, FAIRBORN, OH 45324(937) 281-4673(937) 318-1120 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2021, Aug 1, 2018 (2 updates tracked since 2018).

On this page

About Ms. Connie S Williams Lisw-supv NPPES

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

MS. CONNIE S WILLIAMS LISW-SUPV (NPI 1497737050) is an individual clinical provider in Fairborn, Ohio, licensed in Ohio (I.0800334-SUPV) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497737050

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. CONNIE S WILLIAMSCredential: LISW-SUPV

Location Address302 W MAIN STFairborn, OH 45324-5037

Mailing Address3103 Dixie HwyHamilton, OH 45015-1653 · (513) 892-4673 · Fax (513) 737-1107

Phone(937) 281-4673

Fax(937) 318-1120

Sole ProprietorNo

Enumeration DateNovember 18, 2005

Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration

NPPES CertifiedOctober 5, 2021

✔ NPI 1497737050 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 OH · I.0800334-SUPV✔ Licensed in OH · LSW S 0005246

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.

302 W MAIN ST, Fairborn, OH 45324

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Other Identifiers 1

Medicaid2272231OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Connie S Williams Lisw-supv 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45324 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 20

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

SONIA M RAPP

Social Worker