What is Dedra Stidham's NPI number?

Dedra Stidham's National Provider Identifier (NPI) is 1184014920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dedra Stidham's specialty?

Dedra Stidham is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Dedra Stidham located?

Dedra Stidham's practice location on file with NPPES is 2285 Benden Dr, Wooster, OH 44691-2568.

What is Dedra Stidham's phone number?

The practice phone number listed in the NPPES registry for Dedra Stidham is (330) 264-9029.

Is Dedra Stidham's NPI active?

Yes — Dedra Stidham's NPI (1184014920) is active in the NPPES registry as of the last update on 2015-02-02.

IndividualActive

Dedra Stidham

NPI 1184014920 · Clinical Social Worker · Wooster, OH

Dedra Stidham is a Clinical Social Worker provider in Wooster, OH (NPI 1184014920).

Provider details

NPI number: 1184014920
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: S.0029080 (OH)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense S.0029080 (OH)
Behavioral Health & Social Service Providers

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2285 Benden Dr

Wooster, OH 44691-2568

Phone: (330) 264-9029

Fax: (330) 263-7251

Street-level locationGet directions

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Mailing address