Individual provider Active NPI

Carrie Buchanan, LISW

  • Clinical Social Worker
  • Cuyahoga Falls, OH
National Provider Identifier
1114632940
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2506522 Issued in OH
Practice address
4301 Darrow Rd Ste 3250
Stow, OH 44224-7603
Phone
(330) 368-2017
Fax
(330) 368-2018
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2506522 OH Primary
Social Worker 104100000X I.2506522 OH

Addresses

Primary practice location

4301 Darrow Rd Ste 3250
Stow, OH 44224-7603

Mailing address

4301 Darrow Rd Ste 3250
Stow, OH 44224-7603
Phone (330) 368-2017

Other identifiers 1

IdentifierTypeStateIssuer
0012235MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • 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
I20250707001205 OH Practitioner - Clinical Social Worker 7214441948 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Institute-Center for MFT & LPC Advancement, LLC Social Worker CurrentSince Dec 8, 2024 Accepting new patients
Pathways of Peace Counseling and Consultation CurrentSince Apr 27, 2025 Accepting new patients
Pathways of Peace Counseling and Consultation CurrentSince Jun 1, 2025 Accepting new patients

Locations

911 Graham Rd
Ste 45
Cuyahoga Falls, OH 44221

421 Graham Rd
Ste B
Cuyahoga Fls, OH 44221
Phone (330) 510-4900

4301 Darrow Rd
Ste 1450
Stow, OH 44224
Phone (330) 310-8194

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1114632940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 DARROW RD STE 3250",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442247603",
            "telephone_number": "330-368-2017",
            "fax_number": "330-368-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 DARROW RD STE 3250",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442247603",
            "telephone_number": "330-368-2017",
            "fax_number": "330-368-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "CARRIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2506522",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2506522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012235",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.