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AMI E WALLACE-BENNING LISW
NPI 1790239390
Social Worker - Clinical in Dayton, OH

Active since August 11, 2016PECOS EnrolledAccepts Medicare Assignment
3331 STANLEY AVE STE A, DAYTON, OH 45404(937) 203-0975 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2022, Jun 8, 2022, Aug 11, 2016 (3 updates tracked since 2016).

About Ami E Wallace-benning Lisw NPPES

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

AMI E WALLACE-BENNING LISW (NPI 1790239390) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (I.1600177) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1790239390
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMI E WALLACE-BENNINGCredential: LISW
Location Address3331 STANLEY AVE STE ADayton, OH 45404-2022
Mailing AddressPo Box 549Dayton, OH 45404-0549 · (937) 203-0975 · Fax (855) 595-2759
Phone(937) 203-0975
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 11, 2016
Last NPPES UpdateJuly 15, 20223 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1790239390 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.1600177
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.
3331 STANLEY AVE STE A, Dayton, OH 45404
Open in Google Maps ↗

Other Identifiers 1

Medicaid0183087OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Ami E Wallace-benning Lisw 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 ID7315325164
PECOS Enrollment IDI20220607000940
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 Ami Wallace-benning reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellness With Ami LLC
Same address
Clinical
3331 STANLEY AVE STE A
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
NPI 1891438313 (937) 203-0975

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 45404 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

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

WELLNESS WITH AMI LLC
Social Worker (Clinical)
3331 STANLEY AVE STE A
DAYTON, OH 45404
Montgomery County (937) 203-0975

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 Ami Wallace-benning's NPI number?

The NPI number for Ami Wallace-benning is 1790239390. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Where is Ami Wallace-benning located?

Ami Wallace-benning practices at 3331 Stanley Ave Ste A, Dayton, OH 45404. The listed phone number is (937) 203-0975.

What is Ami Wallace-benning's specialty?

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

Is Ami Wallace-benning enrolled in Medicare?

Yes. Ami Wallace-benning 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 organization bills Medicare for Ami Wallace-benning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ami Wallace-benning reassigns Medicare benefits to Wellness With Ami LLC (Dayton, OH). 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 Ami Wallace-benning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ami Wallace-benning accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 4 other insurers list Ami Wallace-benning 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 Ami Wallace-benning was last updated on July 15, 2022. 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.