David Scott Acus, MA, MSW, LISW-S
Individual provider Active NPI Clinical Social Worker · Bryan, OH
NPI 1346563699 · NPPES record last updated Mar 1, 2010
Key facts
- NPI
- 1346563699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I0030338 (OH)
- Practice address
- 108 W High St
Bryan, OH 43506-1603 - Phone
- (419) 636-1713
- Fax
- (888) 276-4914
- NPI assigned
- Mar 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0030338 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I0030338 | OH | Yes |
Addresses
Primary practice location
108 W High St
Bryan, OH 43506-1603
Mailing address
108 W High St
Bryan, OH 43506-1603
Phone (419) 636-1713
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2713933 | Medicaid | OH |
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.