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

Michael Wyant, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477085769

Michael Wyant, LICDC is a Clinical Social Worker in Elyria, Ohio. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2017
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Practice location Address checks out

202 Chestnut St
Elyria, OH 44035-5325
Phone: (440) 281-8437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LICDC.161921 (OH)

Record details

NPI number1477085769
Entity typeIndividual (Type 1)
GenderMale
Credentials LICDC
Sole proprietorYes
NPI enumeratedMarch 28, 2017
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing address202 Chestnut St, Elyria, OH 44035-5325

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Elyria