Individual provider Active NPI

Stephanie M. Thompson, LISW-S

  • Clinical Social Worker
  • Fairlawn, OH
National Provider Identifier
1194131490
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1600255-SUPV Issued in 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
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1600255-SUPV OH Primary

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

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
I20170926003447 OH Practitioner - Clinical Social Worker 5294009411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 4284969114, 8 clinicians

Practice addresses (Care Compare)

1000 S Cleveland Massillon Rd
Suite 1
Fairlawn, OH 44333-9204
Phone (330) 754-4844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1600255-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Health Center, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1000 S Cleveland Massillon Rd
Ste 1
Fairlawn, OH 44333
Phone (330) 754-4844

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21561/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.thompson.1@21561.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1194131490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S CLEVELAND MASSILLON RD STE 1",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339204",
            "telephone_number": "330-754-4844",
            "fax_number": "833-974-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S CLEVELAND MASSILLON RD STE 1",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339204",
            "telephone_number": "330-754-4844",
            "fax_number": "833-974-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "STEPHANIE",
        "middle_name": "M.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600255-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.