MRS. MARY ALICE FETTERS (NPI# 1629344486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629344486 |
| Entity Type | Individual |
| Full Name | MRS. MARY ALICE FETTERS |
| Credential | LSW |
| Practice Address |
4974 Higbee Ave Ste 209 Canton OH 44718 |
| Mailing Address |
4974 Higbee Ave Nw Suite 209 Canton OH 44718 |
| Practice Telephone | 3304934553 |
| Practice Fax Number | 3304933762 |
| Mailing Telephone | 3304934553 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S0901312 | OH | Behavioral Health & Social Service Providers |
| Street Address |
4974 HIGBEE AVE STE 209 |
| City | CANTON |
| State | OH |
| Zip Code | 44718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700969797 | Krutarth Choksi | Psychiatry & Neurology | 4974 Higbee Ave, Ste 209, Canton, OH 44718-2562 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373308 | Courtney Miller | Social Worker | 41845 Old Bridge Rd, Canton, MI 48188-1242 | 2020-10-14 |
| 1609486612 | Jennifer Zahler | Social Worker | 46463 Hanford Rd, Canton, MI 48187-4784 | 2020-08-04 |
| 1558979492 | Amber Lynn Spicer | Social Worker | 2007 Bellingham St, Canton, MI 48188-1880 | 2020-07-16 |
| 1902414824 | Suzanne C Bradshaw | Social Worker | 4942 Higbee Ave Nw Ste Candd, Canton, OH 44718-2554 | 2020-07-16 |
| 1306461272 | Premela G. Deck | Social Worker | 789 Washington St, Canton, MA 02021-3021 | 2020-06-16 |
| 1750904256 | Sheila Gail Pransky | Social Worker | 29 Kelly Way, Canton, MA 02021-2786 | 2020-05-19 |
| 1659900769 | Maureen Dervan | Social Worker | 7 Shepard Way, Canton, MA 02021-1119 | 2020-04-02 |
| 1720610025 | Ashley Dornhecker | Social Worker | 3361 Malory Cir Nw, Canton, OH 44708-1168 | 2020-02-05 |
| 1801441878 | Madeeha Raja Abbasi | Social Worker | 42485 Majestic Ct, Canton, MI 48188-1136 | 2019-08-07 |
| 1366095044 | Haley Film | Social Worker | 903 Clarendon Ave Nw, Canton, OH 44708-4243 | 2019-07-22 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.