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MR. SCOTT A BEIDELMAN LISW-S
NPI 1083988893
Social Worker - Clinical in Dayton, OH

Active since February 27, 2012PECOS Enrolled
3095 KETTERING BLVD, DAYTON, OH 45439(937) 293-8300 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Scott A Beidelman Lisw-s NPPES

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

MR. SCOTT A BEIDELMAN LISW-S (NPI 1083988893) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (I.0900322-SUPV) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083988893
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SCOTT A BEIDELMANCredential: LISW-S
Location Address3095 KETTERING BLVDDayton, OH 45439-1983
Mailing Address3095 Kettering BlvdDayton, OH 45439-1983 · (937) 293-8300
Phone(937) 293-8300
Sole ProprietorNo
Enumeration DateFebruary 27, 2012
Last NPPES UpdateSeptember 15, 2021
NPPES CertifiedSeptember 15, 2021
✔ NPI 1083988893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.0900322-SUPV
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3095 KETTERING BLVD, Dayton, OH 45439
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Other Identifiers 1

Medicaid0183959OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Scott A Beidelman Lisw-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Scott Beidelman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Community Inc
Same address
Mental Health (Including Community Mental Health Center)
3095 KETTERING BLVD
Moraine, OH 45439
  • Reassigned Medicare billing, Ohio enrollment
  • 50 clinicians in this Medicare group
NPI 1639128176 (937) 293-8300
Samaritan Behavioral Health, Inc.
4.0 mi
Clinic/Center
601 S EDWIN C MOSES BLVD, FIRST FLOOR, NW BUILDING
Dayton, OH 45417
  • Reassigned Medicare billing, Ohio enrollment
  • 100 clinicians in this Medicare group
NPI 1205888641 (937) 224-1694

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELISSA NICHOLE HOSTETTER
Social Worker
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1384
HOLLY MICHELLE VADNAIS
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
ELIZABETH LIAPIS LISW-SUPV
Social Worker (Clinical)
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
KIMBERLY YATES
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
LOGAN BRUNO
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
MISS WILLIETTE ANDERSON
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 991-4817
HANNAH MILLER
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1554
MORGAN RENCH
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300

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 Scott Beidelman's NPI number?

The NPI number for Scott Beidelman is 1083988893. It was assigned to this individual provider in the NPPES registry on February 27, 2012.

Where is Scott Beidelman located?

Scott Beidelman practices at 3095 Kettering Blvd, Dayton, OH 45439. The listed phone number is (937) 293-8300.

What is Scott Beidelman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Scott Beidelman enrolled in Medicare?

Yes. Scott Beidelman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scott Beidelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Beidelman reassigns Medicare benefits to 2 organizations: South Community Inc (Moraine, OH) and Samaritan Behavioral Health, Inc. (Dayton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Beidelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Beidelman accept?

Health plans from CareSource and MedMutual list Scott Beidelman 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 Scott Beidelman was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.