Christina Blackwell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4895 Dressler Rd NW Ste a
Canton, OH 44718-2571

Phone

(330) 493-0083

NPI assigned

Sep 9, 2024

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathway Caring for Children

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1720345556
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2024.

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1356177232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 DRESSLER RD NW STE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 DRESSLER RD NW STE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182571",
            "telephone_number": "330-493-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee J Blackburn
• Breanna Blackford
• Jennifer M Blackford, L.M.T.
• Qayonna Nikole Blackmon
• Robin C-a Blackshear
• Donna Fall Blackwell, BSN, RNC, NNP
• Lisa Blackwell
• Troy Blagrave, M.D.
• Michele Pollak Blaho, CRNA
• Brian J Blake, M.D.

• All providers in Canton, OH
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.