Susan Marie McCauliff
Individual provider Active NPI Counselor · Canton, OH
NPI 1568044832 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1568044832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2421 13TH St NW
Canton, OH 44708-3116 - Phone
- (330) 452-6000
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crisis Intervention and Recovery Center, Inc. | Current |
Accepting new patients | |
| Coleman Professional Services, Inc. | Past |
Accepting new patients |
Locations
2421 13th St NW
Canton, OH 44708
Phone (330) 452-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2421 13TH St NW
Canton, OH 44708-3116
Mailing address
5982 Rhodes Rd
Kent, OH 44240-8100
Phone (330) 673-1347
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.