Active NPI
Lauren Catherine Hackley, LSW
- Social Worker
- Canton, OH
National Provider Identifier
1275337735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2410960
- Practice address
- 4510 Dressler Rd NW
Canton, OH 44718-2546 - Phone
- (216) 450-1613
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2410960 | OH | Primary |
Addresses
Primary practice location
4510 Dressler Rd NW
Canton, OH 44718-2546
Mailing address
PO Box 844020
Dallas, TX 75284-4020
Phone (216) 450-1613
Other names 1
- Ren Hackley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2410960 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Recovery Concepts LLC | Current | Accepting new patients | |
| Axis Mental Health and Wellness | Past | Accepting new patients |
Locations
4510 Dressler Rd NW
Canton, OH 44718
Phone (330) 494-5155
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1619348414
-
- Psychiatric/Mental Health Nurse Practitioner
- Alliance, OH
- NPI 1568349959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1275337735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844020",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844020",
"telephone_number": "216-450-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182546",
"telephone_number": "216-450-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKLEY",
"first_name": "LAUREN",
"middle_name": "CATHERINE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2410960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REN",
"last_name": "HACKLEY",
"credential": "LSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.