Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164902615 Individual Practitioner Male Practitioner

Dustin Smith , LSW

Social Worker • Canton, OH

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dustin Smith, LSW is a registered healthcare professional specializing in Social Worker in Canton, OH. Official NPI practice address is registered at 4522 FULTON DR NW.

Practice Location & Contact Primary Location

Practice Address

4522 Fulton Dr Nw

Canton, OH 447182332

Telephone 3309152907
Fax 3309152958
Associated Practice Facility / Clinic
🏢 Wellness Grove, Llc Facility NPI 1043899859

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
200 Specialists

Practicing in Canton, OH (11526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-26
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S.2105980

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0308003 (OH)

Secondary Practice Locations

4200 Munson St Nw Ste A

Canton, OH 447182981

Phone: 3309152907

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alexis Gibbs , LPC

Counselor - Professional

NPI 1003623331

Licensed Professional Counselor

NPI 1013403211

Licensed Professional Counselor

NPI 1013725589
NPI 1023654852

Licensed Social Worker

Ashley Kaminski , LPC

Counselor - Professional

NPI 1023799749

Licensed Professional Counselor

NPI 1023845807

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address October 26, 2024

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

👤
Provider Name / Credentials Updated October 26, 2024

Recorded as DUSTIN SMITH, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2024

Social Worker (License #S.2105980 in OH)

📍
Updated Practice Location May 18, 2023

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

📍
Updated Business Mailing Address May 18, 2023

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

NPI Profile Active August 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2018

Registered at 150 CROSS ST, AKRON, OH 443111026 (Tel: 3309969141)

📍
Updated Business Mailing Address August 15, 2018

Registered at 150 CROSS ST, AKRON, OH 443111026 (Tel: 3309969141)

👤
Provider Name / Credentials Updated August 15, 2018

Recorded as DUSTIN SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2018

Social Worker

🟢
Initial NPI Registration & Enumeration August 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164902615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2018
Last Update: October 26, 2024
Sole Proprietor: Yes

Mailing Address

4522 Fulton Dr Nw

Canton, OH 447182332

Phone: 3309152907

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.