Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN CHARLES RADZOM, LCSW
Active Sole ProprietorClinical Social Worker · EDWARDSVILLE, IL
Registration Details
- NPI Number
- 1790941300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2008 (17.760215563453 yrs)
- Last Updated
- Oct 21, 2016
- Licenses
-
149012706 (IL)2007033648 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 S MAIN STEDWARDSVILLE, IL, 620251921Browse IL providers · Browse ZIP 62025
- Phone
- 6182482040
- Fax
- 6182482040
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in EDWARDSVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| TAMRA L COLDREN | LCSW | 1114919545 |
| KRISTIN L KREBS | LCSW | 1225021033 |
| ROGER GUNTHER | LCSW | 1427017359 |
| MR. KEVIN REGINALD TRELOAR | MSW LCSW DCSW | 1023046091 |
| JANE S VEST | MSW LCSW | 1699888693 |
| MRS. MICHELLE R. WITT | LCSW | 1902020944 |
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.