William Theron Aley-Byrne, LISW-S
Individual provider Active NPI Clinical Social Worker · Youngstown, OH
NPI 1124293352 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1124293352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I.0800191-SUPV (OH)
- Practice address
- 16 Colonial Dr
Youngstown, OH 44505-2137 - Phone
- (234) 232-7501
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100215000028 | OH | Practitioner - Clinical Social Worker | 1052455045 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0800191-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Recovery of Warren LLC | Current |
Accepting new patients | |
| Axess Family Services Inc | Current |
Accepting new patients | |
| First Step Recovery of Warren LLC | Current |
Accepting new patients | |
| Axess Family Services Inc | Current |
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
- https://api.qualifacts.org/api/fhir/wecaremoreohio/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0800191-SUPV | OH | Yes |
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
2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-2310
Other practice location 2
2737 Youngstown Rd SE
Warren, OH 44484-5002
Phone (330) 369-8022
Other practice location 3
26600 Renaissance Pkwy
Warrensville Heights, OH 44128-5795
Phone (216) 329-8990
Other providers in Youngstown, OH
- Banan Alemaishat
- Noaman Alenise
- Joseph P Alessi Jr.
- Alex J Vrable D O
- Tyra S Alexander
- Mohammed Ali
- Alicia L Stoner
- Janet Lynn Aliff
- All Around Care LLC
- Mary A. Allegro
All providers in Youngstown, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.