Individual provider Active NPI

Renee Ann Blashak

  • Social Worker
  • Canton, OH
National Provider Identifier
1992675896
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0019436 Issued in OH
Practice address
4150 Belden Village St NW Ste LL-15
Canton, OH 44718-2595
Phone
(330) 904-1698
NPI assigned
Nov 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0019436 OH Primary

Addresses

Primary practice location

4150 Belden Village St NW Ste LL-15
Canton, OH 44718-2595

Mailing address

4150 Belden Village St NW Ste LL-15
Canton, OH 44718-2595
Phone (330) 904-1698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.0019436OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1992675896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 BELDEN VILLAGE ST NW STE LL-15",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182595",
            "telephone_number": "330-904-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 BELDEN VILLAGE ST NW STE LL-15",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182595",
            "telephone_number": "330-904-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASHAK",
        "first_name": "RENEE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0019436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.