Individual provider Active NPI

Beth E McMinn Sullivan

  • Social Worker
  • Munroe Falls, OH
National Provider Identifier
1831093517
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S-0000402 Issued in OH
Practice address
211 Trudy Ave
Munroe Falls, OH 44262-1014
Phone
(330) 253-3100
Fax
(330) 253-5327
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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-0000402 OH Primary

Addresses

Primary practice location

211 Trudy Ave
Munroe Falls, OH 44262-1014

Mailing address

211 Trudy Ave
Munroe Falls, OH 44262-1014
Phone (330) 253-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1831093517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 TRUDY AVE",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621014",
            "telephone_number": "330-253-3100",
            "fax_number": "330-253-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TRUDY AVE",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621014",
            "telephone_number": "330-253-3100",
            "fax_number": "330-253-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMINN SULLIVAN",
        "first_name": "BETH",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-0000402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munroe Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.