Individual provider Active NPI

Carol Sue Schott

  • Clinical Social Worker
  • Massillon, OH
National Provider Identifier
1275191678
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405347 Issued in OH
Practice address
7317 Portage St NW
Massillon, OH 44646-7827
Phone
(330) 966-1620
NPI assigned
May 31, 2019
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X S.2005273 OH
Clinical Social Worker 1041C0700X I.2405347 OH Primary

Addresses

Primary practice location

7317 Portage St NW
Massillon, OH 44646-7827

Mailing address

7317 Portage St NW
Massillon, OH 44646-7827

Other practice location 1

3253 Cain St NW
North Canton, OH 44720-4433
Phone (330) 354-6751

Other practice location 2

4641 Fulton Dr NW
Canton, OH 44718-2384
Phone (330) 433-6075

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
I20241017003356 OH Practitioner - Clinical Social Worker 4284166075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Family Consultants, Inc.Group PAC ID 0446154355, 6 clinicians

Practice addresses (Care Compare)

4572 Dressler Rd NW
Canton, OH 44718-2546
Phone (330) 493-4220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2005273OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Family Consultants, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Christian Children's Home of Ohio PastSince Jun 22, 2021 Accepting new patients

Locations

4572 Dressler Rd NW
Canton, OH 44718
Phone (330) 493-4220

Organizations & group practices 2

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1275191678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 PORTAGE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 PORTAGE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467827",
            "telephone_number": "330-966-1620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3253 Cain St NW",
            "address_purpose": "LOCATION",
            "city": "North Canton",
            "state": "OH",
            "postal_code": "447204433",
            "country_code": "US",
            "telephone_number": "330-354-6751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4641 Fulton Dr NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182384",
            "country_code": "US",
            "telephone_number": "330-433-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "CAROL",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "S.2005273",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.