Active NPI
Laura Haddock
- Social Worker
- Canton, OH
National Provider Identifier
1780198184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1701677
- Practice address
- 4510 Dressler Rd NW
Canton, OH 44718-2546 - Phone
- (330) 494-5155
- Fax
- (330) 494-5155
- NPI assigned
- Nov 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1701677 | OH | Primary |
Addresses
Primary practice location
4510 Dressler Rd NW
Canton, OH 44718-2546
Mailing address
2795 Front St Ste a
Cuyahoga Falls, OH 44221-1900
Phone (330) 945-7100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1701677 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1780198184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2795 FRONT ST STE A",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442211900",
"telephone_number": "330-945-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182546",
"telephone_number": "330-494-5155",
"fax_number": "330-494-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDOCK",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "1701677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.