Alexander W Safranek

Individual provider Active NPI Peer Specialist · Clinton, OH

NPI 1962290254 · NPPES record last updated Apr 28, 2025

Key facts

NPI
1962290254
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
License
APS.006334 (OH)
Practice address
6694 Taylor Rd
Clinton, OH 44216-9201
Phone
(330) 344-0717
NPI assigned
Apr 28, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APS.006334OHMDPeer Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X APS.006334 OH Yes

Addresses

Primary practice location

6694 Taylor Rd
Clinton, OH 44216-9201

Mailing address

131 Sylvester St
Barberton, OH 44203-2324
Phone (330) 344-0717

Other providers in Clinton, OH

All providers in Clinton, OH · Peer Specialist in Ohio

Sources for this page

Verify at the official NPI Registry.