Individual provider Active NPI

Tracy Pedani, LISW-S

  • Clinical Social Worker
  • Canal Fulton, OH
National Provider Identifier
1013826783
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0700081-SUPV Issued in OH
Practice address
741 Chris Cir
Canal Fulton, OH 44614-9326
Phone
(330) 806-1458
NPI assigned
Sep 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0700081-SUPV OH Primary

Addresses

Primary practice location

741 Chris Cir
Canal Fulton, OH 44614-9326

Mailing address

741 Chris Cir
Canal Fulton, OH 44614-9326
Phone (330) 806-1458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1013826783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 CHRIS CIR",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149326",
            "telephone_number": "330-806-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 CHRIS CIR",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149326",
            "telephone_number": "330-806-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDANI",
        "first_name": "TRACY",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700081-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.