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MR. BARRY MICHAEL WIDEMAN LISW NPI 1518111913


NPI Information

NPI: 1518111913
Provider Name: MR. BARRY MICHAEL WIDEMAN, LISW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
4100 W 3RD ST
DAYTON, OH
ZIP 45428
Phone: (937) 268-6511
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MR. Barry Michael Wideman, LISW is a clinical social worker in Dayton, OH. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MR. Barry Michael Wideman, LISW NPI is 1518111913. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4100 W 3RD ST
DAYTON, OH
ZIP 45428-000
Phone: (937) 268-6511
Fax: (937) 267-3924

The enumeration date for this NPI number is 11/12/2008 and was last updated on 2/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)954293OHIONo
21041C0700XSocial WorkerClinicalI0800083OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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