MR. DYLAN PELHAM
NPI 1053775478
Social Worker in Mansfield, OH

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
741 SCHOLL RD, MANSFIELD, OH 44907(419) 756-1717 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Dylan Pelham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DYLAN PELHAM (NPI 1053775478) is an individual social worker in Mansfield, Ohio and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053775478
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. DYLAN PELHAM
Location Address741 SCHOLL RDMansfield, OH 44907
Mailing Address741 Scholl RdMansfield, OH 44907-1571
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 12, 2016
Last NPPES UpdateMarch 6, 2019
NPI 1053775478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 140635 (OH)
741 SCHOLL RD, Mansfield, OH 44907

Secondary Practice Location 1

Location 113 Park Ave W Ste 400Mansfield, OH 44902-1743 · Phone (419) 522-5015

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Dylan Pelham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678927654
PECOS Enrollment IDI20230925002292
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
741 SCHOLL RD
MANSFIELD, OH 44907
Psychiatry & Neurology (Child & Adolescent Psychiatry)
741 SCHOLL RD
MANSFIELD, OH 44907
Preventive Medicine (Public Health & General Preventive Medicine)
741 SCHOLL RD
MANSFIELD, OH 44907
Social Worker (Clinical)
741 SCHOLL RD
MANSFIELD, OH 44907
Social Worker (Clinical)
741 SCHOLL RD
MANSFIELD, OH 44907
Social Worker (Clinical)
741 SCHOLL RD
MANSFIELD, OH 44907
Social Worker (Clinical)
741 SCHOLL RD
MANSFIELD, OH 44907
Social Worker (Clinical)
741 SCHOLL RD
MANSFIELD, OH 44907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053775478, enumerated as an "individual" on April 12, 2016.

The provider is located at 741 SCHOLL RD MANSFIELD, OH 44907 and the phone number is (419) 756-1717.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.