Individual provider Active NPI

Emily Hamrick

  • Clinical Social Worker
  • Canton, OH
National Provider Identifier
1376092437
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700566-SUPV Issued in OH
Practice address
800 Market Ave N
Canton, OH 44702-1083
Phone
(234) 226-7350
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1302581 OH
Clinical Social Worker 1041C0700X I.1700566-SUPV OH Primary

Addresses

Primary practice location

800 Market Ave N
Canton, OH 44702-1083

Mailing address

800 Market Ave N
Canton, OH 44702-1083
Phone (234) 226-7350

Other practice location 1

640 W Market St
Akron, OH 44303-1413
Phone (330) 762-5425 ext. 25425

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
I20171012003349 OH Practitioner - Clinical Social Worker 0446525745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blick Clinic, Inc.Group PAC ID 6709771843, 14 clinicians

Practice addresses (Care Compare)

274 White Pond Dr
Akron, OH 44320-1118
Phone (330) 762-5425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1302581OHMDSocial Worker
I.1700566-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc CurrentSince Oct 18, 2021 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Oct 18, 2021 Accepting new patients

Locations

800 Market Ave N
Ste 1600
Canton, OH 44702
Phone (234) 226-2350

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

1801 Watermark Dr
Ste 200
Columbus, OH 43215

Organizations & group practices 3

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": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1376092437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021083",
            "telephone_number": "234-226-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021083",
            "telephone_number": "234-226-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 W Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443031413",
            "country_code": "US",
            "telephone_number": "330-762-5425 x25425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1302581",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700566-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.