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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: August 09, 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
Phone(419) 756-1717
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
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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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.

MELISSA L. HARRISON
Behavior Technician
741 SCHOLL RD
MANSFIELD, OH 44907
Richland County (419) 774-6720
CLYDE W. HUVLER JR.
Case Manager/Care Coordinator
741 SCHOLL RD
MANSFIELD, OH 44907
Richland County (419) 756-1717
BENJAMIN HARRIS
Behavior Technician
741 SCHOLL RD
MANSFIELD, OH 44907
Richland County (419) 756-1717
DONNA M. HALL
Behavior Technician
741 SCHOLL RD
MANSFIELD, OH 44907
Richland County (419) 756-5833
KARLA A BOND
Behavior Technician
741 SCHOLL RD
MANSFIELD, OH 44907
Richland County (419) 756-1717
ELIZABETH FISSEL
Behavior Technician
741 SCHOLL RD
MANSFIELD, OH 44907
Richland County (419) 756-1717
WHITNEY K. ROTTER
Behavior Technician
741 SCHOLL RD
MANSFIELD, OH 44907
Richland County (419) 774-2252
TAMRA D KING
Behavior Technician
741 SCHOLL RD
MANSFIELD, OH 44907
Richland County (419) 756-1717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Pelham's NPI number?

The NPI number for Dylan Pelham is 1053775478. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Dylan Pelham located?

Dylan Pelham practices at 741 Scholl Rd, Mansfield, OH 44907. The listed phone number is (419) 756-1717.

What is Dylan Pelham's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Dylan Pelham enrolled in Medicare?

Yes. Dylan Pelham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dylan Pelham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Dylan Pelham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dylan Pelham was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.