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DEDRA STIDHAM
NPI 1184014920
Social Worker - Clinical in Wooster, OH

Active since February 02, 2015
2285 BENDEN DR, WOOSTER, OH 44691(330) 264-9029(330) 263-7251 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dedra Stidham NPPES

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

DEDRA STIDHAM (NPI 1184014920) is an individual clinical provider in Wooster, Ohio, licensed in Ohio (S.0029080) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1184014920
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEDRA STIDHAM
Location Address2285 BENDEN DRWooster, OH 44691-2568
Mailing Address2285 Benden DrWooster, OH 44691-2568 · (330) 264-9029 · Fax (330) 263-7251
Phone(330) 264-9029
Fax(330) 263-7251
Sole ProprietorNo
Enumeration DateFebruary 2, 2015
✔ NPI 1184014920 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 · S.0029080
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.
2285 BENDEN DR, Wooster, OH 44691
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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.

MRS. ALLISON KATHLEEN EUREKA QMHS-BACH
Behavior Technician
2285 BENDEN DR
WOOSTER, OH 44691
Wayne County (330) 264-9029
MS. LYNN S. HAWK LSW
Social Worker (Clinical)
2285 BENDEN DR
WOOSTER, OH 44691
Wayne County (330) 264-9029
STACY JEAN HANCOCK
Social Worker
2285 BENDEN DR
WOOSTER, OH 44691
Wayne County (330) 264-9029
MRS. JOY STITZLEIN MSW, LISW
Social Worker (Clinical)
2285 BENDEN DR
WOOSTER, OH 44691
Wayne County (330) 264-9029
TODD LEE CURTIS PC
Counselor (Professional)
2285 BENDEN DR
WOOSTER, OH 44691
Wayne County (330) 264-9029
DAYNA A. YANUS MSW, LSW
Social Worker (Clinical)
2285 BENDEN DR
WOOSTER, OH 44691
Wayne County (330) 264-9029
AMELIA DASOVICH QMHS-BACH
Behavior Technician
2285 BENDEN DR
WOOSTER, OH 44691
Wayne County (330) 264-9029
DR. NUKALA R REDDY MD
Psychiatry & Neurology (Psychiatry)
2285 BENDEN DR
WOOSTER, OH 44691
Wayne County (330) 264-9029

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 Dedra Stidham's NPI number?

The NPI number for Dedra Stidham is 1184014920. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Dedra Stidham located?

Dedra Stidham practices at 2285 Benden Dr, Wooster, OH 44691. The listed phone number is (330) 264-9029.

What is Dedra Stidham's specialty?

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

When was this NPI record last updated?

The NPPES record for Dedra Stidham was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.