Brian Joseph Wlodarczyk, CDCA II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.2308774 Issued in OH

Practice address

400 E State St Ste D
Athens, OH 45701-1870

Phone

(740) 326-6110

NPI assigned

Jan 27, 2020

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1588295802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 MOORE RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121285",
            "telephone_number": "216-973-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATE ST STE D",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011870",
            "telephone_number": "740-326-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLODARCZYK",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "CDCA II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2308774",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "170054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Michael Wire, RPH
• Bethany Wise
• Brady Wisor, RN
• Jenifer Witt
• Rachel Nicole Witt, APRN
• Jessica Wogan, CDCA
• Rebecca Jane Wogerman
• Christina Ann Wolf
• Stefanie Kayla Wolf, M.D.
• Carrie A Wolfe, LPN

• Clinical Social Worker in Athens, OH
• Providers in Athens, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.