Individual provider Active NPI

Rebecca M Ajah, MSW, LISW

  • Clinical Social Worker
  • Massillon, OH
National Provider Identifier
1053881847
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304740 Issued in OH
Practice address
1680 Nave Rd SE
Massillon, OH 44646-9604
Phone
(330) 830-8740
Fax
(330) 830-0912
NPI assigned
Dec 5, 2018
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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.2304740 OH Primary

Addresses

Primary practice location

1680 Nave Rd SE
Massillon, OH 44646-9604

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374

Other practice location 1

1711 Spring Ave NE
Canton, OH 44714-2349
Phone (330) 454-6800

Other identifiers 1

IdentifierTypeStateIssuer
0343234MedicaidOH

Other names 1

  • Rebecca Lamp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313000904 OH Practitioner - Clinical Social Worker 7618313602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2304740OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Commquest Services, Inc. Addiction (Substance Use Disorder) CurrentSince Jan 6, 2025 Accepting new patients
Commquest Services, Inc. Addiction (Substance Use Disorder) CurrentSince Jan 6, 2025 Accepting new patients

Locations

1711 Spring Ave NE
Canton, OH 44714
Phone (330) 454-6800

625 Cleveland Ave NW
Canton, OH 44702
Phone (330) 445-2677

1680 Nave Rd SE
Massillon, OH 44646
Phone (330) 830-3393

1680 Nave Rd SE
Fl 3
Massillon, OH 44646

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1053881847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021805",
            "telephone_number": "330-455-0374",
            "fax_number": "330-453-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 NAVE RD SE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469604",
            "telephone_number": "330-830-8740",
            "fax_number": "330-830-0912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 Spring Ave NE",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447142349",
            "country_code": "US",
            "telephone_number": "330-454-6800",
            "fax_number": "330-588-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJAH",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LAMP",
            "credential": "MSW, LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.