Individual provider Active NPI

Celisa Marie Hardesty, LISW

  • Clinical Social Worker
  • Warren, OH
National Provider Identifier
1164807442
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901425-SUPV Issued in OH
Practice address
2737 Youngstown Rd SE
Warren, OH 44484-5002
Phone
(330) 369-8022
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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.1901425-SUPV OH Primary
Social Worker 104100000X I1901425 OH

Addresses

Primary practice location

2737 Youngstown Rd SE
Warren, OH 44484-5002

Mailing address

1400 S Arlington St Unit 38
Akron, OH 44306-3771
Phone (888) 975-9188

Other practice location 1

151 Marion Ave
Mansfield, OH 44903-2223
Phone (419) 774-9969

Other practice location 2

5968 New Milford Rd
Ravenna, OH 44266-3819
Phone (888) 975-9188

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
I20200206001941 OH Practitioner - Clinical Social Worker 4486080678 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1901425OHMDSocial Worker
I.1901425-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Axess Family Services Inc Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 9, 2023 Accepting new patients
Axess Family Services Inc CurrentSince Aug 15, 2025 Accepting new patients
Axess Family Services Inc CurrentSince Aug 15, 2025 Accepting new patients
First Step Recovery of Warren LLC PastSince May 7, 2024 Accepting new patients
First Step Recovery of Warren LLC PastSince Sep 8, 2025 Accepting new patients

Locations

1400 S Arlington St
Unit 38
Akron, OH 44306
Phone (330) 724-5471

390 Robinson Ave
Ste E
Barberton, OH 44203
Phone (330) 564-2697

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

143 Gougler Ave
Kent, OH 44240
Phone (330) 673-1016

5968 New Milford Rd
Ravenna, OH 44266

771 N Freedom St
Ravenna, OH 44266
Phone (330) 296-5552

318 Mahoning Ave NW
Warren, OH 44483
Phone (330) 394-6342

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wecaremoreohio/r4/

Organizations & group practices 6

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1164807442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S ARLINGTON ST UNIT 38",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443063771",
            "telephone_number": "888-975-9188",
            "fax_number": "330-564-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 YOUNGSTOWN RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845002",
            "telephone_number": "330-369-8022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449032223",
            "country_code": "US",
            "telephone_number": "419-774-9969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5968 New Milford Rd",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442663819",
            "country_code": "US",
            "telephone_number": "888-975-9188",
            "fax_number": "330-564-9977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDESTY",
        "first_name": "CELISA",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901425-SUPV",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I1901425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.