JEREMY WHITAKER (LISW) – Clinical Social Worker, NPI 1144736059
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 MENTAL HEALTH COUNSELOR in OH
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Provider Addresses for JEREMY WHITAKER (LISW)
4629 AICHOLTZ ROAD
CINICNNATI, OH 452448546
Phone: (513) 752-1555
Type: Mailing
Aicholtz Road, Summerside, Union Township, Clermont County, Ohio, 45245, United States
CINCINNATI, OH 45244
Phone: (513) 752-1555
Type: Location
424 WARDS CORNER RD STE 200
LOVELAND, OH 451406966
Phone: (513) 576-7700
Fax: (513) 576-1020
Type: Mailing
100 RIVER VALLEY BLVD
NEW RICHMOND, OH 451578566
Phone: (513) 553-3114
Fax: (513) 553-1032
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240510001920 | I | Mental Health Counselor | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45244)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| - | OH | |
| - | OH | |
| Clinical Psychologist | OH | |
| Nurse Practitioner | OH |
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