EMERALD PINE GRIEF & TRAUMA SERVICES LLC NPI 1154036564

NPI Information

  • NPI: 1154036564
  • Provider Name: EMERALD PINE, GRIEF & TRAUMA SERVICES, LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 4111 BRADLEY CIR NW STE 150
    CANTON, OH
    ZIP 44718
  • Phone: (330) 546-0199

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NPI Details

EMERALD PINE, GRIEF & TRAUMA SERVICES, LLC is a clinical social worker in Canton, OH. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. EMERALD PINE, GRIEF & TRAUMA SERVICES, LLC NPI is 1154036564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4111 BRADLEY CIR NW STE 150
CANTON, OH
ZIP 44718-563
Phone: (330) 546-0199

The provider's authorized official is Amy Hallett .
The authorized official title is Owner and has the following contact phone number (330) 546-0199.

The enumeration date for this NPI number is 1/19/2023 and was last updated on 1/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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