Individual provider Active NPI

Katie Schmucker

  • Social Worker
  • North Canton, OH
National Provider Identifier
1609510890
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2208293 Issued in OH
Practice address
6101 Whipple Ave NW
North Canton, OH 44720-7617
Phone
(330) 537-8114
NPI assigned
Apr 24, 2022
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 180216 OH
Social Worker 104100000X S.2208293 OH Primary

Addresses

Primary practice location

6101 Whipple Ave NW
North Canton, OH 44720-7617

Mailing address

6101 Whipple Ave NW
North Canton, OH 44720-7617
Phone (330) 537-8114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260601001587 OH Practitioner - Clinical Social Worker 9931679834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3201 Enterprise Pkwy
Suite 370
Beachwood, OH 44122-7337

5982 Rhodes Rd
Kent, OH 44240-8100

944 Cherry St E
Canal Fulton, OH 44164-8669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180216OHMDAddiction (Substance Use Disorder) Counselor
S.2208293OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Inc. CurrentSince Jun 1, 2026 Accepting new patients
Dragonfly Counseling Center, LLC CurrentSince May 1, 2022 Accepting new patients
BN Wellness Group CurrentSince May 1, 2022 Accepting new patients

Locations

944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281

2460 Fairmount Blvd
Ste 326
Cleveland Heights, OH 44106
Phone (216) 273-3901

1700 Boettler Rd
Ste 100
Green, OH 44685
Phone (330) 896-0009

6101 Whipple Ave NW
North Canton, OH 44720
Phone (330) 537-8114

Organizations & group practices 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1609510890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207617",
            "telephone_number": "330-537-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207617",
            "telephone_number": "330-537-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMUCKER",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-24",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "180216",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2208293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.