Healthcare Provider Details

I. General information

NPI: 1356274955
Provider Name (Legal Business Name): DUSTIN WESTFALL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 WARREN SHARON RD
BROOKFIELD OH
44403-9796
US

IV. Provider business mailing address

7525 WARREN SHARON RD
BROOKFIELD OH
44403-9796
US

V. Phone/Fax

Practice location:
  • Phone: 330-369-5030
  • Fax: 330-969-1155
Mailing address:
  • Phone: 330-369-5030
  • Fax: 330-969-1155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: