CARLY G WILLIS (NPI# 1326514209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326514209 |
| Entity Type | Individual |
| Full Name | CARLY G WILLIS |
| Practice Address |
6640 Poe Ave Ste 100 Dayton OH 45414-2678 |
| Practice Telephone | 9376172273 |
| Practice Fax Number | 9373879987 |
| Mailing Telephone | 9376172273 |
| Mailing Fax Number | 9373879987 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1802838 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396180543 | Carly Amber Willis | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2013-05-01 |
| Street Address |
6640 POE AVE STE 100 |
| City | DAYTON |
| State | OH |
| Zip Code | 45414-2678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598187437 | Carly Nagel | Counselor | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2014-01-13 |
| 1073124749 | Elaysia Hill | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2020-08-14 |
| 1295364016 | Gabriella Faye Craft | Social Worker | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2020-04-03 |
| 1073147831 | Benjamin Barker | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2020-03-02 |
| 1083261457 | Francis Long | Social Worker | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-08-21 |
| 1811542418 | Kirsten Johnson | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-08-09 |
| 1699327833 | Andrew Brown | Social Worker | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-07-09 |
| 1952969974 | Kayleigh Day | Social Worker | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-06-04 |
| 1407411101 | Jessica Guizzo | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-05-08 |
| 1518420843 | Kendra Tolle | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
| Find all providers in zip 45414 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239121 | Sara Ann Hillix | Social Worker | 8910 Treeland Ln, Dayton, OH 45458-2703 | 2020-09-15 |
| 1568081115 | Lacey Danae Martin | Social Worker | 124 W Apple St, Dayton, OH 45402-2617 | 2020-04-14 |
| 1609426840 | Patrice Marie Sullivan | Social Worker | 4100 W 3rd St Ste 241, Dayton, OH 45428-9000 | 2019-09-19 |
| 1275005340 | Ria D. Megnin | Social Worker | 2104 King Ave, Dayton, OH 45420-2453 | 2018-12-29 |
| 1487130035 | Monica Summers | Social Worker | 6444 Woodsedge Ct, Dayton, OH 45449-3417 | 2018-07-17 |
| 1710471461 | Renee Katherine Blossom | Social Worker | 2694 Latonia Ave, Dayton, OH 45439-2923 | 2018-06-17 |
| 1720571748 | Freshana S Withrow-harris | Social Worker | 8038 Bellcreek Ln, Dayton, OH 45426-4732 | 2018-06-13 |
| 1689165466 | Andrea Lee Sierra | Social Worker | 7130 Robert Ulrich Ave, Dayton, OH 45415-1411 | 2018-05-28 |
| 1265922942 | Kara Kathleen Pickrell | Social Worker | 1129 Miamisburg Centerville Rd Ste 201, Dayton, OH 45449-4052 | 2018-05-17 |
| 1851803332 | Dola Mae Landis | Social Worker | 8145 N Main St, Dayton, OH 45415-1703 | 2017-10-24 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.