Mr Barry Michael Wideman, LISW is a
Social Worker - Clinical based in Dayton, Ohio. Mr Barry Michael Wideman is licensed to practice in Ohio (license number I0800083) and his current practice location is
4100 W 3rd St, Dayton, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 268-6511.
NPI number for Mr Barry Michael Wideman is 1518111913 and his current mailing address is 4100 W 3rd St, Dayton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518111913.
Healthcare Provider's Profile
Full Name | Mr Barry Michael Wideman |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 4100 W 3rd St, Dayton, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518111913
- Provider Enumeration Date: 11/12/2008
- Last Update Date: 02/24/2020
Medical Identifiers
Medical identifiers for Mr Barry Michael Wideman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518111913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 954293 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I0800083 (Ohio) | Primary |
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. Mr Barry Michael Wideman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Barry Michael Wideman, LISW 4100 W 3rd St, Dayton, OH 45428-9000 Ph: (937) 268-6511 | Mr Barry Michael Wideman, LISW 4100 W 3rd St, Dayton, OH 45428-9000 Ph: (937) 268-6511 |
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