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

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