Active NPI
Sharon Beach
- Clinical Social Worker
- Canton, OH
National Provider Identifier
1487334645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Beach
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.