Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian Charles Radzom, LCSW

Individual provider Clinical Social Worker · NPI 1790941300

Brian Charles Radzom, LCSW is a Clinical Social Worker in Edwardsville, Illinois. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

205 S Main St
Edwardsville, IL 62025-1921
Phone: (618) 248-2040
Fax: (618) 248-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149012706 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2007033648 (MO)

Record details

NPI number1790941300
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 3, 2008
Last updated in NPPESOctober 21, 2016

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