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MR. KENNETH L. WILLIS LSW
NPI 1992438808
Social Worker in Youngstown, OH

Active since July 07, 2022
550 W CHALMERS AVE, YOUNGSTOWN, OH 44511(330) 797-0070 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2023, Jul 7, 2022 (2 updates tracked since 2022).

About Mr. Kenneth L. Willis Lsw NPPES

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

MR. KENNETH L. WILLIS LSW (NPI 1992438808) is an individual social worker in Youngstown, Ohio, licensed in Ohio (S.0800008) and active in the NPI registry since July 2022. He maintains a secondary practice location in Youngstown.

NPPES Registry Identity

NPI1992438808
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. KENNETH L. WILLISCredential: LSW
Location Address550 W CHALMERS AVEYoungstown, OH 44511-1576
Mailing Address527 N Meridian RdYoungstown, OH 44509-1227 · (330) 797-0070 · Fax (330) 797-9146
Phone(330) 797-0070
Sole ProprietorNo
Enumeration DateJuly 7, 2022
Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
✔ NPI 1992438808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · S.0800008
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
550 W CHALMERS AVE, Youngstown, OH 44511
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Secondary Practice Location 1

Location 1527 N Meridian RdYoungstown, OH 44509-1227 · Phone (330) 797-0070 · Fax (330) 797-9146

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.

CHRISTIAN CLARK
Community/Behavioral Health
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 746-7829
SAMANTHA A CROSS CDCA
Counselor (Addiction (Substance Use Disorder))
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
MONICA S JONES RN, LPN
Registered Nurse
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
TRACEY L HERNANDEZ LPN
Licensed Practical Nurse
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
ALISSA LOREN SHRODEK RN, PMHNP
Registered Nurse
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
LAURA M RIDGE LPCC-S
Counselor (Professional)
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0074
DONNA S BARNHART LSW
Social Worker
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070
MALLORY A OLITSKY CDCA, QMHS
Counselor (Addiction (Substance Use Disorder))
550 W CHALMERS AVE
YOUNGSTOWN, OH 44511
Mahoning County (330) 797-0070

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 Kenneth Willis's NPI number?

The NPI number for Kenneth Willis is 1992438808. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Kenneth Willis located?

Kenneth Willis practices at 550 W Chalmers Ave, Youngstown, OH 44511. The listed phone number is (330) 797-0070.

What is Kenneth Willis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kenneth Willis was last updated on January 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.