Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649774431 Individual Practitioner Female Practitioner

Miranda Bowman , LSW

Social Worker • Canton, OH

Professional Overview & Biography Verified Profile Summary

Miranda Bowman, LSW is a registered healthcare professional specializing in Social Worker in Canton, OH. Practice services are available at 4522 FULTON DR NW under active NPI credentials.

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: 2026-01-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider 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

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 November 10, 2024

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

👤
Provider Name / Credentials Updated November 10, 2024

Recorded as MIRANDA BOWMAN, LSW

📍
Updated Practice Location April 22, 2024

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

📍
Updated Business Mailing Address April 22, 2024

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

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

Social Worker (License #S.2207225 in OH)

NPI Profile Active March 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2018

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

📍
Updated Business Mailing Address March 19, 2018

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

👤
Provider Name / Credentials Updated March 19, 2018

Recorded as MIRANDA BOWMAN

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

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.