Individual provider Active NPI

Christopher L Wozniak, MSW, LSW, LICDC

  • Clinical Social Worker
  • Centerville, OH
National Provider Identifier
1699318584
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2207830 Issued in OH
Practice address
2040 Meadowside LN
Centerville, OH 45458-2816
Phone
(937) 657-7486
NPI assigned
Oct 23, 2019
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162294 OH
Clinical Social Worker 1041C0700X S.2207830 OH Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2040 Meadowside LN
Centerville, OH 45458-2816

Mailing address

2040 Meadowside LN
Centerville, OH 45458-2816
Phone (937) 657-7486

Other practice location 1

1320 Woodman Dr
Dayton, OH 45432-3497
Phone (937) 657-7486

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
I20240404002302 OH Practitioner - Clinical Social Worker 3678911005 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.162294OHMDAddiction (Substance Use Disorder) Counselor
S.2207830OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Communikare Behavioral Health Services LLC Clinical CurrentSince Feb 6, 2024 Accepting new patients
Wellness Card LLC CurrentSince Feb 6, 2024 Accepting new patients
Communikare Behavioral Health Services LLC CurrentSince Feb 6, 2024 Accepting new patients

Locations

1320 Woodman Dr
Dayton, OH 45432
Phone (937) 223-1781

Organizations & group practices 3

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1699318584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MEADOWSIDE LN",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582816",
            "telephone_number": "937-657-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MEADOWSIDE LN",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582816",
            "telephone_number": "937-657-7486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Woodman Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454323497",
            "country_code": "US",
            "telephone_number": "937-657-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MSW, LSW, LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162294",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2207830",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.