Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II in Powell, OH - Medicare Clinical Social Worker Provider

Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II is a medicare enrolled "Social Worker - Clinical" provider in Powell, Ohio. She graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc, Sondermind Provider Network Llc and her current practice location is 15 Trail Edge Cir, Powell, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 561-5261.

Mrs Kathryn Marie Vicks is licensed to practice in Ohio (license number I.0800182-SUPV) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285742395.

Contact Information

	Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II
	15 Trail Edge Cir, Powell, OH 43065-9464
	(614) 561-5261
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kathryn Marie Vicks
Gender	Female
Speciality	Clinical Social Worker
Experience	20 Years
Location	15 Trail Edge Cir, Powell, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kathryn Marie Vicks graduated from medical school in 2006

NPI Data:

NPI Number: 1285742395
Provider Enumeration Date: 08/28/2006
Last Update Date: 01/13/2026

Medicare PECOS Information:

PECOS PAC ID: 1557725561
Enrollment ID: I20230908003227

Medical Identifiers

Medical identifiers for Mrs Kathryn Marie Vicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285742395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21344 (Arizona)	Secondary
1041C0700X	Social Worker - Clinical	1141581 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	I.0800182-SUPV (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sondermind Provider Network Llc	9537572490	874
Sondermind Provider Network Llc	9537572490	874

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kathryn Marie Vicks allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathryn Marie Vicks is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II 15 Trail Edge Cir, Powell, OH 43065-9464 Ph: (614) 561-5261	Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II 15 Trail Edge Cir, Powell, OH 43065-9464 Ph: (614) 561-5261

Reviews and Comments

Social Worker in Powell, OH

Cherie G. Mannino, L.I.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 161 S Liberty St, Powell, OH 43065 Phone: 614-446-0225
Rebecca K Harmon, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 Woodspring Dr, Powell, OH 43065 Phone: 614-477-0805
Ms. Brenda Joy Stone, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10617 Stoneham Dr, Powell, OH 43065 Phone: 614-832-3408 Fax: 614-875-4121
Dr. Barbara Jo Dennison, PHD, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 97 S Liberty St, Powell, OH 43065 Phone: 614-888-8440 Fax: 614-848-5323
Carolyn Ann Abbruzzese, LISW-S, CDCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 161 S Liberty St, Powell, OH 43065 Phone: 614-361-5643
Victoriya Reich, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 185 S Liberty St, Powell, OH 43065 Phone: 888-875-8712
Kristen Hicks, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Summit View Rd, Powell, OH 43065 Phone: 937-572-2649

Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II - Medicare Clinical Social Worker in Powell, OH