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

Mr. Barry Michael Wideman, LISW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518111913

Mr. Barry Michael Wideman, LISW is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

4100 W 3rd St
Dayton, OH 45428-9000
Phone: (937) 268-6511
Fax: (937) 267-3924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 — (513) 939-0300

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I0800083 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 954293 (OH)

Record details

NPI number1518111913
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedNovember 12, 2008
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

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