Individual provider Active NPI

Jessica Cummings, MSW, LISW

  • Clinical Social Worker
  • Canton, OH
National Provider Identifier
1689339749
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304957 Issued in OH
Practice address
7052 Tidewater St NW
Canton, OH 44708-5973
Phone
(330) 861-9559
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X I.2304957 OH Primary

Addresses

Primary practice location

7052 Tidewater St NW
Canton, OH 44708-5973

Mailing address

7052 Tidewater St NW
Canton, OH 44708-5973

Other names 1

  • Jessica Balogh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216000677 OH Practitioner - Clinical Social Worker 4284160110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HWS Best Health LLCGroup PAC ID 1951712066, 14 clinicians

Practice addresses (Care Compare)

1303 W Maple St
North Canton, OH 44720-2858
Phone (330) 442-2664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2304957OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
HWS Best Health LLC CurrentSince Dec 4, 2024 Accepting new patients
HWS Best Health LLC Clinical CurrentSince Dec 4, 2024 Accepting new patients
HWS Best Health, LLC Past Accepting new patients

Locations

1303 W Maple St
Ste 102
North Canton, OH 44720
Phone (330) 442-2664

1303 W Maple St
North Canton, OH 44720
Phone (330) 442-2664

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1689339749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 TIDEWATER ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7052 TIDEWATER ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085973",
            "telephone_number": "330-861-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BALOGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.