MEDICARE: MR. WILLIAM DEFELICE LPCC AND LICDC-CS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	975961	OH
2	101YP2500X	Professional Counselor	E0002866	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000334427	OTHER	OH	ANTHEM
2	1000683	OTHER	OH	QUAL CHOICE
3	215952000	OTHER	OH	MAGELLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	7649640	OTHER	OH	AETNA
6	2038292	OTHER	OH	CIGNA

General Provider Information

NPI Number	:	1770700775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM DEFELICE LPCC AND LICDC-CS

Provider Business Mailing Address
First Line	:	3305 WEST 25TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109
Country	:	US
Telephone Number	:	216-459-1222
Fax Number	:	216-651-1096

Provider Business Practice Location Address
First Line	:	1891 FULTON AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113
Country	:	US
Telephone Number	:	216-651-0234
Fax Number	:	216-651-1096

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	02/02/2026

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Directions to “ MR. WILLIAM DEFELICE LPCC AND LICDC-CS” Practice Location

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