MS. CONNIE S WILLIAMS LISW-SUPV
NPI 1497737050
Social Worker - Clinical in Fairborn, OH
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 and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Ms. Connie S Williams Lisw-supv 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.
Medicare Billing Reassignments
2Medicare enrollment records show Connie Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centerville, OH 45459
- Reassigned Medicare billing, Ohio enrollment
- 18 clinicians in this Medicare group
Cincinnati, OH 45206
- Reassigned Medicare billing, Ohio enrollment
- 111 clinicians in this Medicare group
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 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.
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.
FAIRBORN, OH 45324
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 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.
Where is Connie Williams located?
Connie Williams practices at 302 W Main St, Fairborn, OH 45324. The listed phone number is (937) 281-4673.
What is Connie Williams's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Connie Williams enrolled in Medicare?
Yes. Connie Williams 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 Connie Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Williams reassigns Medicare benefits to 2 organizations: J. Kilby Enterprises, Inc. (Centerville, OH) and Talbert House (Cincinnati, OH). 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 Connie Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connie Williams accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Connie Williams 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 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 5 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.
# Ms. Connie S Williams, LISW-SUPV · NPI 1497737050
Clinical provider in Fairborn, Ohio. Individual provider, active in the CMS NPPES registry since November 18, 2005.
## Identity
- **NPI:** 1497737050 (Entity type: Individual)
- **Enumerated:** November 18, 2005
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** I.0800334-SUPV (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 302 W MAIN ST, Fairborn, OH 45324-5037
- **Phone:** (937) 281-4673 · **Fax:** (937) 318-1120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): J. Kilby Enterprises, Inc. (NPI 1316652894, Centerville, OH); Talbert House (NPI 1619900834, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** October 5, 2021
- **Other identifiers:** Medicaid 2272231 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1497737050) · Data from the CMS NPPES public registry.