Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MERCEDES NICOLE MODEN, CDCA
ActiveMRS. MERCEDES NICOLE MODEN, CDCA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DAYTON, Ohio. NPI 1336763960 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DAYTON, OH
Registration Details
- NPI Number
- 1336763960
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2020 (6.2019428172801 yrs)
- Last Updated
- Jul 21, 2025
- License
-
CDCA.177104 (OH)
Practice Information
- Address
-
2632 WOODMAN CENTER CTDAYTON, OH, 454201477Browse OH providers · Browse ZIP 45420
- Phone
- 9377397100
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DAYTON, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. BRENDA B HANEY | MSW LISW LCDC III | 1871577791 |
| MRS. BERIEL SHAFEEK | MA LSW LICDC | 1376520429 |
| CHERYL LOBBESTAEL-GRIFFIN | LISW | 1245200542 |
| MR. STEVEN ALLEN MONTE | CCDC-IIIE | 1346339181 |
| CHARLES R JOHNSON | LCDC II | 1376625384 |
| MS. JACQUELINE MCKENZIE | M.A.S.M., L.S.W. | 1942382841 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.