Daniel P Videc, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0901029 Issued in OH

Practice address

230 S Court St
Suite 5
Medina, OH 44256-2275

Phone

(330) 723-7997

Fax

(330) 725-5177

NPI assigned

Jan 13, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Avenues of Counseling and Mediation

  • Mental Health Counselor
  • Medina, OH
  • NPI 1225253107
  NPD (past)
• Lisa Borchert Dba Avenues of Counseling

  • Mental Health Counselor
  • Medina, OH
  • NPI 1750581179
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1497085492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S COURT ST",
            "address_2": "SUITE 5",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562275",
            "telephone_number": "330-723-7997",
            "fax_number": "330-725-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S COURT ST",
            "address_2": "SUITE 5",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562275",
            "telephone_number": "330-723-7997",
            "fax_number": "330-725-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDEC",
        "first_name": "DANIEL",
        "middle_name": "P",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0901029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Deanne Vavlas, LPC
• Roy Vellanki, MD
• Pushpalatha Tirumale Venkataraman, PHYSICIAN ASSISTANT
• Molly Nicole Verhoff, PA-C
• Ann Marie Vetter, PA
• F Michelle Villeneuve, LPN
• Katelynn Vincent, PRS
• Megan Vitek, LPC, MFT
• Andrew Peter Vitko, D.C.
• Samuel Robert Volpe

• Social Worker in Medina, OH
• Providers in Medina, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.