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Miranda Bowman , LSW

Social Worker β€’ Canton, OH

Active NPI 1649774431 Individual Practitioner Female Practitioner
Practice location in NPPES

4522 Fulton Dr Nw
Canton, OH 447182332

Call 3309152907 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4522 Fulton Dr Nw

Canton, OH 447182332

Telephone 3309152907
Fax 3309152958
Organization at the Same NPPES Address or Phone
Wellness Grove, Llc Facility NPI 1043899859

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Canton, OH; Hudson, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

199 active clinicians are listed under Social Worker with a practice address in Canton, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 199 clinicians have the CMS telehealth indicator.

0.5% of these 199 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.2207225

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0078265 (OH)

Secondary Practice Locations

4200 Munson St Nw Ste A

Canton, OH 447182981

Phone: 3309152907

5611 Hudson Dr Ste 400

Hudson, OH 442364452

Phone: 3309152907

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Gina Bowers , LISW-S

Social Worker - Clinical

NPI 1942750666

LISWS

Pamela Ebert , LPCC-S

Counselor - Mental Health

NPI 1467711580

LPCCS

Kellie King Feciuch , LPCC-S

Counselor - Mental Health

NPI 1609148824

LPCCS

Madeline Skemp , LPCC-S

Counselor - Mental Health

NPI 1427509900

LPCCS

Paige Wallace , LPCC-S, CCATP

Counselor - Mental Health

NPI 1376157115

LPCCS, CCATP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address November 10, 2024

Registered at 4522 FULTON DR NW, CANTON, OH 447182332 (Tel: 3309152907)

πŸ‘€
Provider Name / Credentials Updated November 10, 2024

Recorded as MIRANDA BOWMAN, LSW

πŸ“
Updated Practice Location April 22, 2024

Registered at 4522 FULTON DR NW, CANTON, OH 447182332 (Tel: 3309152907)

πŸ“
Updated Business Mailing Address April 22, 2024

Registered at 4200 MUNSON ST NW STE A, CANTON, OH 447182981 (Tel: 3309152907)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2024

Social Worker (license number reported to NPPES: OH S.2207225)

βœ…
NPI Profile Active March 19, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 19, 2018

Registered at 4641 FULTON DR NW, CANTON, OH 447182384 (Tel: 3304336075)

πŸ“
Business Mailing Address (Initial Record) March 19, 2018

Registered at 5247 13TH ST SW APT 203, CANTON, OH 447101056

πŸ‘€
Provider Name / Credentials (Initial Record) March 19, 2018

Recorded as MIRANDA BOWMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 19, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649774431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2018
Last Update: January 20, 2026
Sole Proprietor: Yes

Other Social Workers in Canton

Healthcare providers in Canton

Mailing Address

4522 Fulton Dr Nw

Canton, OH 447182332

Phone: 3309152907

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.