Individual provider Active NPI

Samantha Jane Beaton

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1730810029
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2507532 Issued in OH
Practice address
3450 W Central Ave Ste 122
Toledo, OH 43606-1421
Phone
(419) 210-3660
NPI assigned
Jun 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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 I.2507532 OH Primary
Clinical Social Worker 1041C0700X 6801121223 MI

Addresses

Primary practice location

3450 W Central Ave Ste 122
Toledo, OH 43606-1421

Mailing address

34 S Erie St Apt 509
Toledo, OH 43604-8259
Phone (419) 902-2490

Other practice location 1

1645 N Dixie Hwy Ste 2
Monroe, MI 48162-5231
Phone (734) 344-7432

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

LicenseStateTypeSpecialty
6851114963MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Make Your Turn LLC Clinical PastSince Jun 30, 2024 Accepting new patients
Make Your Turn LLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1730810029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S ERIE ST APT 509",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436048259",
            "telephone_number": "419-902-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 122",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061421",
            "telephone_number": "419-210-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 N Dixie Hwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481625231",
            "country_code": "US",
            "telephone_number": "734-344-7432",
            "fax_number": "734-344-7431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATON",
        "first_name": "SAMANTHA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507532",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; 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.