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MR. JEFFREY FRANK KOLACZKOWSKI MSW LISW LCSW
NPI 1821070137
Social Worker - Clinical in Dayton, OH

Active since November 14, 2005PECOS Enrolled
1320 WOODMAN DR, SUITE 200, DAYTON, OH 45432(937) 223-1781(937) 853-0096 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Jeffrey Frank Kolaczkowski Msw Lisw Lcsw NPPES

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

MR. JEFFREY FRANK KOLACZKOWSKI MSW LISW LCSW (NPI 1821070137) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (I0008388) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821070137
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEFFREY FRANK KOLACZKOWSKICredential: MSW LISW LCSW
Location Address1320 WOODMAN DR, SUITE 200Dayton, OH 45432-3497
Mailing Address1320 Woodman Dr, Suite 200Dayton, OH 45432-3497 · (937) 223-1781 · Fax (937) 853-0096
Phone(937) 223-1781
Fax(937) 853-0096
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1821070137 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 · I0008388
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.
1320 WOODMAN DR, Dayton, OH 45432
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Other Identifiers 1

Medicaid2272231OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, 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)

Mr. Jeffrey Frank Kolaczkowski Msw Lisw Lcsw 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 Reassignments

2

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

Communikare Behavioral Health Services LLC
Same address
Mental Health (Including Community Mental Health Center)
1320 WOODMAN DR
Dayton, OH 45432
  • Reassigned Medicare billing, Ohio enrollment
  • 15 clinicians in this Medicare group
NPI 1003463456 (937) 223-1781
Wellness Card LLC
Same address
Mental Health (Including Community Mental Health Center)
1320 WOODMAN DR
Dayton, OH 45432
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1558678151 (937) 223-1781

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 45432 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.

COMMUNIKARE BEHAVIORAL HEALTH SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1320 WOODMAN DR
DAYTON, OH 45432
Greene County (937) 223-1781
HEIDI M KELLER LPN
Licensed Practical Nurse
1320 WOODMAN DR
DAYTON, OH 45432
Greene County (937) 223-1781
COMMUNIKARE BEHAVIORAL HEALTH SERVICES LLC
Psychiatry & Neurology (Psychiatry)
1320 WOODMAN DR
DAYTON, OH 45432
Greene County (937) 223-1781
MRS. BETH A TAMBORSKI MS PCC SC
Counselor (Professional)
1320 WOODMAN DR, SUITE 200
DAYTON, OH 45432
Greene County (937) 223-1781
JESSICA KNAFF
Counselor (Addiction (Substance Use Disorder))
1320 WOODMAN DR
DAYTON, OH 45432
Greene County (937) 522-0961
ATS BEHAVIORAL HEALTH INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1320 WOODMAN DR, STE 100
DAYTON, OH 45432
Greene County (937) 424-8816
DR. SIMRAN K SEHBI MD
Psychiatry & Neurology (Psychiatry)
1320 WOODMAN DR
DAYTON, OH 45432
Greene County (937) 268-6511
WOODMAN PRIMARY CARE LLC
Preventive Medicine (Medical Toxicology)
1320 WOODMAN DR
DAYTON, OH 45432
Greene County (937) 223-1781

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 Jeffrey Kolaczkowski's NPI number?

The NPI number for Jeffrey Kolaczkowski is 1821070137. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Jeffrey Kolaczkowski located?

Jeffrey Kolaczkowski practices at 1320 Woodman Dr Suite 200, Dayton, OH 45432. The listed phone number is (937) 223-1781.

What is Jeffrey Kolaczkowski's specialty?

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

Is Jeffrey Kolaczkowski enrolled in Medicare?

Yes. Jeffrey Kolaczkowski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffrey Kolaczkowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Kolaczkowski reassigns Medicare benefits to 2 organizations: Communikare Behavioral Health Services LLC (Dayton, OH) and Wellness Card LLC (Dayton, 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 Jeffrey Kolaczkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Kolaczkowski accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Jeffrey Kolaczkowski 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 Jeffrey Kolaczkowski was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.