MEDICARE: DON FRANK VILD LISW

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	1041C0700X	Clinical Social Worker	I. 0001922	OH

General Provider Information

NPI Number	:	1902820939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON FRANK VILD LISW

Provider Business Mailing Address
First Line	:	972 THORNDALE DR
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-1609
Country	:	US
Telephone Number	:	330-827-9111
Fax Number	:	877-302-5776

Provider Business Practice Location Address
First Line	:	1435 MARKET AVENUE NORTH
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44714-2609
Country	:	US
Telephone Number	:	330-827-9111
Fax Number	:	877-302-5776

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	10/27/2025

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Directions to “ DON FRANK VILD LISW” Practice Location

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