Individual provider Active NPI

Desiree D Untch, LISW-S

  • Clinical Social Worker
  • Canton, OH
National Provider Identifier
1972277150
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203787-SUPV Issued in OH
Practice address
4960 Higbee Ave NW Ste 101
Canton, OH 44718-2598
Phone
(330) 427-4825
Fax
(330) 625-5096
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2203787-SUPV OH Primary

Addresses

Primary practice location

4960 Higbee Ave NW Ste 101
Canton, OH 44718-2598

Mailing address

6160 Hillfield St NW
North Canton, OH 44720-6414
Phone (330) 338-6607

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2203787-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Jan 1, 2024 Accepting new patients

Locations

4368 Dressler Rd NW
Ste 103
Canton, OH 44718
Phone (330) 433-1300

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1972277150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 HILLFIELD ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206414",
            "telephone_number": "330-338-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 HIGBEE AVE NW STE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182598",
            "telephone_number": "330-427-4825",
            "fax_number": "330-625-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTCH",
        "first_name": "DESIREE",
        "middle_name": "D",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203787-SUPV",
            "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 Jul 24, 2025; 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.