Cassandra Marie Shearer, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Niles, OH

NPI 1104480193 · NPPES record last updated Jul 12, 2023

Key facts

NPI
1104480193
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP.14852 (OH)
Practice address
950 Youngstown Warren Rd Ste a
Niles, OH 44446-4626
Phone
(330) 505-1606
NPI assigned
Apr 25, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP.14852OHMDSpeech-Language Pathologist
SL014491PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaris Therapy Group, Inc Speech-Language Pathologist Current
since Jul 16, 2023
Accepting new patients
Capable Kids LLC Speech-Language Pathologist Past Accepting new patients

Locations

950 Youngstown Warren Rd
Ste A
Niles, OH 44446
Phone (330) 505-1606

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL014491 PA
Speech-Language Pathologist 235Z00000X SP.14852 OH Yes

Addresses

Primary practice location

950 Youngstown Warren Rd Ste a
Niles, OH 44446-4626

Mailing address

3444 Maple Springs Dr
Canfield, OH 44406-9214
Phone (724) 841-3003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 12, 2023.

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1104480193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 MAPLE SPRINGS DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069214",
            "telephone_number": "724-841-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 YOUNGSTOWN WARREN RD STE A",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464626",
            "telephone_number": "330-505-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014491",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

All providers in Niles, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.