Tracy Anne Beresh, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0800199 Issued in OH

Practice address

1206 N Main St Ste 123
North Canton, OH 44720-1926

Phone

(234) 200-5780

NPI assigned

May 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Start With Hope LLC

  • Clinical Social Worker
  • North Canton, OH
  • NPI 1902678089
  NPD
• The Hope and Healing Center

  • Clinical Social Worker
  • North Canton, OH
  • NPI 1295331908
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1396005484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 GLENWOOD ST SW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447203539",
            "telephone_number": "330-313-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N MAIN ST STE 123",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201926",
            "telephone_number": "234-200-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERESH",
        "first_name": "TRACY",
        "middle_name": "ANNE",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0800199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202744",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Peter Benoit, PHD
• Tiffany Rose Bentler
• Sherry Benzel, PT
• Justin Berenyi, LPCC
• Isabelle Catherine Beres, M.A. SLP-CF
• Linda Berger, LPTA
• Lydia D Bergman
• William B Bergquist, COTA/L
• Douglas J Bernard, COTA/L
• Louis Bernard

• Clinical Social Worker in North Canton, OH
• Providers in North Canton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.