Individual provider Active NPI

William Theron Aley-Byrne, LISW-S

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1124293352
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800191-SUPV Issued in OH
Practice address
16 Colonial Dr
Youngstown, OH 44505-2137
Phone
(234) 232-7501
NPI assigned
Apr 29, 2008
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0800191-SUPV OH Primary

Addresses

Primary practice location

16 Colonial Dr
Youngstown, OH 44505-2137

Mailing address

168 Hollywood Ave
Youngstown, OH 44512-1223
Phone (303) 507-4335

Other practice location 1

2737 Youngstown Rd SE
Warren, OH 44484-5002
Phone (330) 369-8022

Other practice location 2

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-2310

Other practice location 3

26600 Renaissance Pkwy
Warrensville Heights, OH 44128-5795
Phone (216) 329-8990

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
I20100215000028 OH Practitioner - Clinical Social Worker 1052455045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0800191-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Recovery of Warren LLC CurrentSince May 7, 2024 Accepting new patients
First Step Recovery of Warren LLC CurrentSince Sep 8, 2025 Accepting new patients
Axess Family Services Inc CurrentSince Jan 27, 2026 Accepting new patients
Axess Family Services Inc CurrentSince Jan 27, 2026 Accepting new patients
Psycare Inc Past Accepting new patients

Locations

1400 S Arlington St
Unit 38
Akron, OH 44306
Phone (330) 724-5471

390 Robinson Ave
Ste E
Barberton, OH 44203
Phone (330) 564-2697

2737 Youngstown Rd SE
Warren, OH 44484
Phone (330) 369-8022

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wecaremoreohio/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1124293352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 HOLLYWOOD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445121223",
            "telephone_number": "303-507-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COLONIAL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052137",
            "telephone_number": "234-232-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2737 Youngstown Rd SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444845002",
            "country_code": "US",
            "telephone_number": "330-369-8022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2980 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44505",
            "country_code": "US",
            "telephone_number": "330-759-2310",
            "fax_number": "330-759-0018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26600 Renaissance Pkwy",
            "address_purpose": "LOCATION",
            "city": "Warrensville Heights",
            "state": "OH",
            "postal_code": "441285795",
            "country_code": "US",
            "telephone_number": "216-329-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEY-BYRNE",
        "first_name": "WILLIAM",
        "middle_name": "THERON",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800191-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.