MANDISA WILLIAMS (NPI# 1710484118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710484118 |
| Entity Type | Individual |
| Full Name | MANDISA WILLIAMS |
| Credential | CDCA |
| Practice Address |
621 S Erie Hwy Hamilton OH 45011-4315 |
| Practice Telephone | 5132994080 |
| Mailing Telephone | 5132994080 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | 164062 | OH | Other Service Providers |
| Street Address |
621 S ERIE HWY |
| City | HAMILTON |
| State | OH |
| Zip Code | 45011-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760593396 | St. Aloysius Orphanage | Clinic/Center | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2006-08-31 |
| 1124674809 | William Ray | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-08-17 |
| 1134684038 | Daniel L Kibler | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-02-05 |
| 1245795145 | Joseph Alan Harris | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-02-05 |
| 1295290195 | Meaghan Malloy | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-02-05 |
| 1912462995 | Alonzo Wells | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2019-02-04 |
| 1881164069 | Lisa Shalloe | Case Manager/Care Coordinator | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2018-11-29 |
| 1982190278 | Stewart Keith Barnes | Counselor | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2018-07-10 |
| 1093200776 | Jasmine Bowie | Case Manager/Care Coordinator | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2018-06-26 |
| 1972095263 | Courtnie Ann Bruning | Community/Behavioral Health | 621 S Erie Hwy, Hamilton, OH 45011-4315 | 2018-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1962053934 | Eudora Klee | Case Manager/Care Coordinator | 1225 Whitehorse Mercerville Rd Bldg B504, Hamilton, NJ 08619-3882 | 2019-09-21 |
| 1457829624 | Christina Marie Craft | Case Manager/Care Coordinator | 5577 Eureka Dr, Hamilton, OH 45011-4267 | 2018-11-06 |
| 1326549411 | Tiffany Nishee Penn | Case Manager/Care Coordinator | 734 Dayton St, Hamilton, OH 45011-3460 | 2018-02-23 |
| 1598263659 | Nina Ellington | Case Manager/Care Coordinator | 300 N Fair Ave, Hamilton, OH 45011-4250 | 2018-01-24 |
| 1689186512 | Ramon Moon | Case Manager/Care Coordinator | 230 Ludlow St, Hamilton, OH 45011 | 2017-11-01 |
| 1942710587 | Alexander P Olson | Case Manager/Care Coordinator | 705 Hanover St, Hamilton, OH 45011-3789 | 2017-10-10 |
| 1366999179 | Cindy Bown | Case Manager/Care Coordinator | 3189 Princeton Rd, Hamilton, OH 45011-5338 | 2016-09-09 |
| 1609248889 | Michael Craycraft | Case Manager/Care Coordinator | 53 Elmont Ave, Hamilton, OH 45013-2411 | 2015-10-27 |
| 1942693841 | Amanda Sears | Case Manager/Care Coordinator | 46 Sundance Dr, Hamilton, NJ 08619-3967 | 2015-03-17 |
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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.