Active NPI
Angel Shearer, LSW
- Clinical Social Worker
- Wooster, OH
National Provider Identifier
1447720313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.1801942
- Practice address
- 521 Beall Ave
Wooster, OH 44691-3589 - Phone
- (330) 262-7836
- Fax
- (330) 262-2867
- NPI assigned
- Dec 4, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.1801942 | OH | Primary |
Addresses
Primary practice location
521 Beall Ave
Wooster, OH 44691-3589
Mailing address
433 Brandon CT
Orrville, OH 44667-9519
Phone (330) 465-3445
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.1801942 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1447720313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 BRANDON CT",
"city": "ORRVILLE",
"state": "OH",
"postal_code": "446679519",
"telephone_number": "330-465-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 BEALL AVE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446913589",
"telephone_number": "330-262-7836",
"fax_number": "330-262-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "ANGEL",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.1801942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.