Active NPI
Start With Hope LLC
- Clinical Social Worker
- North Canton, OH
National Provider Identifier
1902678089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- START WITH HOPE LLC
- Practice address
- 1206 N Main St Ste 123
North Canton, OH 44720-1926 - Phone
- (234) 200-5780
- NPI assigned
- Oct 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy With Hope Beresh, LISW-S
- Title
- Principal, Clinician
- Phone
- (234) 200-5780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1206 N Main St Ste 123
North Canton, OH 44720-1926
Mailing address
PO Box 2101
North Canton, OH 44720-0101
Phone (234) 200-5780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202744 | Medicaid | OH | |
| 12385514 | Other | CAQH |
National Provider Directory
National Provider DirectoryLocations
1206 N Main St
Ste 123
North Canton, OH 44720
Phone (234) 200-5780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- North Canton, OH
- NPI 1396005484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1902678089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2101",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447200101",
"telephone_number": "234-200-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 N MAIN ST STE 123",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447201926",
"telephone_number": "234-200-5780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "START WITH HOPE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "BERESH",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "WITH HOPE",
"authorized_official_title_or_position": "PRINCIPAL, CLINICIAN",
"authorized_official_telephone_number": "234-200-5780",
"authorized_official_credential": "LISW-S"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0202744",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12385514",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.