Individual provider Active NPI

Kevin Michael Biddell, PHD, LISW

  • Clinical Social Worker
  • North Canton, OH
National Provider Identifier
1821564469
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304518 Issued in OH
Practice address
1136 Linmar Dr
North Canton, OH 44720-1039
Phone
(330) 696-9505
NPI assigned
Oct 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 112919 OH
Clinical Social Worker 1041C0700X I.2304518 OH Primary

Addresses

Primary practice location

1136 Linmar Dr
North Canton, OH 44720-1039

Mailing address

3465 S Arlington Rd Ste E
Akron, OH 44312-5272
Phone (330) 849-2245

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
I20240223003916 OH Practitioner - Clinical Social Worker 3971948423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1136 Linmar Dr
North Canton, OH 44720-1039
Phone (330) 849-2245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
112919OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope for a Village Social Worker CurrentSince Jan 9, 2024 Accepting new patients

Locations

3465 S Arlington Rd
Ste E113
Green, OH 44312

3465 S Arlington Rd
Ste E
Green, OH 44312

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1821564469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 S ARLINGTON RD STE E",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125272",
            "telephone_number": "330-849-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 LINMAR DR",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201039",
            "telephone_number": "330-696-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDDELL",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "112919",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.