Individual provider Active NPI

Sharla Marie Popadak, MSW, LSW

  • Social Worker
  • Canfield, OH
National Provider Identifier
1790279354
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1801983 Issued in OH
Practice address
3620 Stutz Dr Lowr Level
Canfield, OH 44406-9176
Phone
(330) 276-3173
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1801983 OH Primary

Addresses

Primary practice location

3620 Stutz Dr Lowr Level
Canfield, OH 44406-9176

Mailing address

6979 Warren Sharon Rd
Brookfield, OH 44403-9623
Phone (330) 675-9600

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
I20230209000657 OH Practitioner - Clinical Social Worker 1557733029 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1801983OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Care Associates, LLC CurrentSince Jan 26, 2023 Accepting new patients

Locations

425 Niles Cortland Rd SE
Ste 201
Warren, OH 44484
Phone (330) 856-3795

Organizations & group practices 1

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1790279354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 WARREN SHARON RD",
            "city": "BROOKFIELD",
            "state": "OH",
            "postal_code": "444039623",
            "telephone_number": "330-675-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 STUTZ DR LOWR LEVEL",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069176",
            "telephone_number": "330-276-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPADAK",
        "first_name": "SHARLA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1801983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.