Individual provider Active NPI

Stephen Inchak, LISWS

  • Clinical Social Worker
  • Youngstown, OH
National Provider Identifier
1871911966
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0700385-SUPV Issued in OH
Practice address
711 Belmont Ave
Youngstown, OH 44502-1039
Phone
(330) 793-2487
Fax
(330) 743-5748
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0700385-SUPV OH Primary

Addresses

Primary practice location

711 Belmont Ave
Youngstown, OH 44502-1039

Mailing address

711 Belmont Ave
Youngstown, OH 44502-1039
Phone (330) 793-2487

Other practice location 1

142 Javit Ct
Youngstown, OH 44515-2409
Phone (330) 793-2487

Other practice location 2

108 W Western Reserve Rd
Youngstown, OH 44514-3522
Phone (330) 793-2487

Other practice location 3

1960 E County Line Rd
Mineral Ridge, OH 44440-9451
Phone (330) 793-2487

Other practice location 4

8790 E Market St Ste 100
Warren, OH 44484-2380
Phone (330) 793-2487

Other practice location 5

939 Wilkinson Ave
Youngstown, OH 44509-2159
Phone (330) 793-2487

Other practice location 6

939 Wilkinson Ave
Youngstown, OH 44509-2159
Phone (330) 793-2487

Other practice location 7

50410 Oh-14
East Palestine, OH 44413
Phone (330) 793-2487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0700385-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Support Services, Inc. Past Accepting new patients

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1871911966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021039",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021039",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Javit Ct",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445152409",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W Western Reserve Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445143522",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Mineral Ridge",
            "state": "OH",
            "postal_code": "444409451",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8790 E Market St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842380",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Wilkinson Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445092159",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Wilkinson Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445092159",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50410 OH-14",
            "address_purpose": "LOCATION",
            "city": "East Palestine",
            "state": "OH",
            "postal_code": "44413",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INCHAK",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LISWS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700385-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.