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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP.14852 | OH | MD | Speech-Language Pathologist |
| SL014491 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaris Therapy Group, Inc | Speech-Language Pathologist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Steven Salvatore Sferra
- Genna Nicole Shafer
- Rema M Shakhtra
- Cassidy Sharper
- Victoria Shaw
- Kara Marie Sheesley
- Delaney Sheffield
- Lori Ann Shelby
- Nanuli Shengelya
- Ramona S Sheth
All providers in Niles, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.