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

Luke Nicodemo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457230138

Luke Nicodemo is a Student in an Organized Health Care Education/Training Program in Tallmadge, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
Specialties on file
2

Practice location Address checks out

30 NW Ave Ste 120
Tallmadge, OH 44278-1808
Phone: (330) 633-4187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.2613742 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457230138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2025
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address1801 Watermark Dr, Columbus, OH 43215-7088

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