Individual provider Active NPI

Patrick Horn, LISW

  • Clinical Social Worker
  • Canton, OH
National Provider Identifier
1306575022
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405966 Issued in OH
Practice address
4895 Dressler Rd NW
Canton, OH 44718-2571
Phone
(330) 493-0083
NPI assigned
Jun 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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.2405966 OH Primary

Addresses

Primary practice location

4895 Dressler Rd NW
Canton, OH 44718-2571

Mailing address

215 W Bowery St
Akron, OH 44308-1069

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
I20250502000843 OH Practitioner - Mental Health Counselor 4789100736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians

Practice addresses (Care Compare)

2600 Tuscarawas St W
Suite 340
Canton, OH 44708-4644
Phone (330) 493-9607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2405966OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Caring for Children CurrentSince Jun 12, 2022 Accepting new patients
Akron Children's Hospital Current Accepting new patients
Ohio Physician Professional Corporation CurrentSince Feb 23, 2025 Accepting new patients
Pathway Caring for Children Clinical PastSince Jun 12, 2022 Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

4895 Dressler Rd NW
Canton, OH 44718
Phone (330) 493-0083

2600 Tuscarawas St W
Ste 340
Canton, OH 44708
Phone (330) 493-9607

Interoperability endpoints

  • Direct secure messaging: phorn125421@direct.chmca.org

Organizations & group practices 4

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1306575022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BOWERY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182571",
            "telephone_number": "330-493-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "PATRICK",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.