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W. GORDON FEDIACZKO L.I.S.W.
NPI 1831100379
Social Worker - Clinical in Salem, OH

Active since August 10, 2006
12680 SALEM WARREN RD, SALEM, OH 44460(330) 337-6527(330) 337-3099 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About W. Gordon Fediaczko L.i.s.w. NPPES

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

W. GORDON FEDIACZKO L.I.S.W. (NPI 1831100379) is an individual clinical provider in Salem, Ohio, licensed in Ohio (I-0002866) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1831100379
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameW. GORDON FEDIACZKOCredential: L.I.S.W.
Location Address12680 SALEM WARREN RDSalem, OH 44460-9668
Mailing Address815 E 5th StSalem, OH 44460-1742 · (330) 332-0153 · Fax (330) 337-3099
Phone(330) 337-6527
Fax(330) 337-3099
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1831100379 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-0002866
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.
12680 SALEM WARREN RD, Salem, OH 44460
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Other Identifiers 1

Medicare ID-Type UnspecifiedFESW02682

Other Providers at the Same Location NPPES 2

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

PAMELA D. DRAKE, M.D., P.A., CO.
Psychiatry & Neurology (Psychiatry)
12680 SALEM WARREN RD
SALEM, OH 44460
Columbiana County (330) 337-0088
MS. JAYNE LYNN DECORT L.I.S.W.
Social Worker (Clinical)
12680 SALEM WARREN RD
SALEM, OH 44460
Columbiana County (330) 337-0088

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 W. Fediaczko's NPI number?

The NPI number for W. Fediaczko is 1831100379. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is W. Fediaczko located?

W. Fediaczko practices at 12680 Salem Warren Rd, Salem, OH 44460. The listed phone number is (330) 337-6527.

What is W. Fediaczko'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 W. Fediaczko was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.