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BRIAN CHARLES RADZOM LCSW
NPI 1790941300
Social Worker - Clinical in Edwardsville, IL

Active since August 03, 2008
205 S MAIN ST, EDWARDSVILLE, IL 62025(618) 248-2040(618) 248-2040 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Charles Radzom Lcsw NPPES

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

BRIAN CHARLES RADZOM LCSW (NPI 1790941300) is an individual clinical provider in Edwardsville, Illinois, licensed in Illinois (149012706) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1790941300
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRIAN CHARLES RADZOMCredential: LCSW
Location Address205 S MAIN STEdwardsville, IL 62025-1921
Mailing AddressPo Box 101Edwardsville, IL 62025-0101 · (618) 248-2040 · Fax (618) 248-2040
Phone(618) 248-2040
Fax(618) 248-2040
Sole ProprietorYes
Enumeration DateAugust 3, 2008
Last NPPES UpdateOctober 21, 2016
✔ NPI 1790941300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IL · 149012706✔ Licensed in MO · 2007033648
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.
205 S MAIN ST, Edwardsville, IL 62025
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Other Providers at the Same Location NPPES

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

INTERFAITH COUNSELING CENTER
Voluntary or Charitable
205 S MAIN ST, STE. B
EDWARDSVILLE, IL 62025
Madison County (618) 659-1606

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 Brian Radzom's NPI number?

The NPI number for Brian Radzom is 1790941300. It was assigned to this individual provider in the NPPES registry on August 3, 2008.

Where is Brian Radzom located?

Brian Radzom practices at 205 S Main St, Edwardsville, IL 62025. The listed phone number is (618) 248-2040.

What is Brian Radzom'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 Brian Radzom was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.