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

Mr. Edward Michael Wantuck, MSWLISW

Individual provider Clinical Social Worker · NPI 1053474593

Mr. Edward Michael Wantuck, MSWLISW is a Clinical Social Worker in Cincinnati, Ohio. Qualified in 1986, 40 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
40
Licensed in
OH
In the registry since
2006
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Practice location Address checks out

2123 Auburn Ave Ste 303
Cincinnati, OH 45219-2906
Phone: (513) 241-1811
Fax: (513) 241-2112
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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 I000414 (OH)

Record details

NPI number1053474593
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLISW
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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