Stephanie M. Thompson, LISW-S
Individual provider Active NPI Clinical Social Worker · Fairlawn, OH
NPI 1194131490 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1194131490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I.1600255-SUPV (OH)
- Practice address
- 1000 S Cleveland Massillon Rd Ste 1
Fairlawn, OH 44333-9204 - Phone
- (330) 754-4844
- Fax
- (833) 974-2062
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascend Health Center, LLC
Practice addresses (Care Compare)
1000 S Cleveland Massillon Rd
Suite 1
Fairlawn, OH 44333-9204
Phone (330) 754-4844
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170926003447 | OH | Practitioner - Clinical Social Worker | 5294009411 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1600255-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Health Center, LLC | Current |
Accepting new patients |
Locations
1000 S Cleveland Massillon Rd
Ste 1
Fairlawn, OH 44333
Phone (330) 754-4844
Interoperability endpoints
- https://api.platform.athenahealth.com/21561/brand/1/csg/1/fhir/r4
- stephanie.thompson.1@21561.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1600255-SUPV | OH | Yes |
Addresses
Primary practice location
1000 S Cleveland Massillon Rd Ste 1
Fairlawn, OH 44333-9204
Mailing address
1000 S Cleveland Massillon Rd Ste 1
Fairlawn, OH 44333-9204
Phone (330) 754-4844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0219119 | Medicaid | OH | |
| I.1600255-SUPV | Other | OH | OHIO ELICENSURE OF OHIO PROFESSIONAL LICENSURE |
Other providers in Fairlawn, OH
- Yolanda Thomas
- Brittany Thompson
- Carrie Lee Thompson
- Samantha Paige Thompson
- Selena Thompson
- Sekai Thornburg
- Michael Anthony Timar
- Katelyn Timmer
- Catherine Tish
- Sharon Tittl
All providers in Fairlawn, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.