Individual provider Active NPI

Alexander Tyler Male, MSW, LISW-S

  • Clinical Social Worker
  • Stow, OH
National Provider Identifier
1093228223
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304824-SUPV Issued in OH
Practice address
4301 Darrow Rd Ste 3250
Stow, OH 44224-7603
Phone
(216) 264-7822
NPI assigned
Nov 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1802042 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.165228 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X I.2304824-SUPV OH Primary

Addresses

Primary practice location

4301 Darrow Rd Ste 3250
Stow, OH 44224-7603

Mailing address

4301 Darrow Rd Ste 3250
Stow, OH 44224-7603
Phone (330) 368-2017

Other practice location 1

2460 Fairmount Blvd Ste 323
Cleveland Heights, OH 44106-3164
Phone (216) 264-7822

Other identifiers 1

IdentifierTypeStateIssuer
0038984MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250808002636 OH Practitioner - Clinical Social Worker 3173037876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDCA.165228OHMDAddiction (Substance Use Disorder) Counselor
S1802042OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways of Peace Counseling and Consultation CurrentSince May 18, 2025 Accepting new patients
Pathways of Peace Counseling and Consultation CurrentSince Apr 21, 2025 Accepting new patients
Azalea Institute-Center for MFT & LPC Advancement, LLC Addiction (Substance Use Disorder) Past Accepting new patients
Navigate Counseling and Consultation Services Social Worker PastSince Jul 1, 2022 Accepting new patients

Locations

911 Graham Rd
Ste 45
Cuyahoga Falls, OH 44221

4301 Darrow Rd
Ste 1450
Stow, OH 44224
Phone (330) 310-8194

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1093228223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 DARROW RD STE 3250",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442247603",
            "telephone_number": "330-368-2017",
            "fax_number": "330-368-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 DARROW RD STE 3250",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442247603",
            "telephone_number": "216-264-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 Fairmount Blvd Ste 323",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441063164",
            "country_code": "US",
            "telephone_number": "216-264-7822",
            "fax_number": "330-317-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALE",
        "first_name": "ALEXANDER",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1802042",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.165228",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304824-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038984",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.