Individual provider · Type 1 NPI

Michael Wyant, LICDC

Clinical Social Worker · Elyria, OH

NPI number 1477085769 Active

Practice location

202 Chestnut St
Elyria, OH 44035-5325

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC-CS.161921 (OH)
Clinical Social Worker Primary 1041C0700XI.2607879 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1477085769

Michael Wyant, LICDC's National Provider Identifier is 1477085769, issued on Mar 28, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elyria, OH. The record was last updated on Sep 24, 2026.