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

Mr. Dylan Pelham

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053775478

Mr. Dylan Pelham is a Clinical Social Worker in Mansfield, Ohio. Qualified in 2018, 8 years ago. Practices with The Center for Individual and Family Services, Inc, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

741 Scholl Rd
Mansfield, OH 44907
Phone: (419) 756-1717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13 Park Ave W Ste 400, Mansfield, OH 44902-1743 — (419) 522-5015
  • 13 Park Ave W Ste 400, Mansfield, OH 44902-1743 — (419) 522-5015

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 140635 (OH)

Record details

NPI number1053775478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2016
Last updated in NPPESMarch 6, 2019
Mailing address741 Scholl Rd, Mansfield, OH 44907-1571

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Center For Individual And Family Services, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mansfield