Organization Active NPI

Sharon Beach

  • Clinical Social Worker
  • Canton, OH
National Provider Identifier
1487334645
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHARON BEACH
Practice address
100 30TH St NW Ste 104
Canton, OH 44709-3100
Phone
(330) 459-1058
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Sharon BeachNPI 1952058273
Title
Owner
Phone
(330) 459-1058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

100 30TH St NW Ste 104
Canton, OH 44709-3100

Mailing address

100 30TH St NW Ste 104
Canton, OH 44709-3100
Phone (330) 459-1058

Other names 1

  • Sharon Beach LLC Doing business as

National Provider Directory

National Provider Directory

Locations

100 30th St NW
Canton, OH 44709
Phone (330) 396-1563

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1487334645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 30TH ST NW STE 104",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093100",
            "telephone_number": "330-459-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 30TH ST NW STE 104",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093100",
            "telephone_number": "330-459-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-459-1058"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Beach LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 24, 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.