Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gregory Wayne Pratt, LISW-S

Individual provider Clinical Social Worker · NPI 1962876003

Gregory Wayne Pratt, LISW-S is a Clinical Social Worker in Fairfield, Ohio. Qualified in 2006, 20 years ago. Practices with Mindfully LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
20
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7206
Phone: (513) 939-0300
Fax: (513) 939-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I0800207 (OH)

Record details

NPI number1962876003
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedNovember 29, 2015
Last updated in NPPESDecember 4, 2017
Mailing address1251 Nilles Rd, Suite 5, Fairfield, OH 45014-7206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mindfully Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fairfield