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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLAIN MURRAY WALLACE
NPI 1699670166
Social Worker in Chardon, OH

Active since October 13, 2026
12557 RAVENWOOD DR, CHARDON, OH 44024(440) 285-3568 Get Directions Write a Review

NPPES record added: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blain Murray Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAIN MURRAY WALLACE (NPI 1699670166) is an individual social worker in Chardon, Ohio, licensed in Ohio (S.2605427-TRNE) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1699670166
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameBLAIN MURRAY WALLACE
Location Address12557 RAVENWOOD DRChardon, OH 44024-9009
Mailing Address12557 Ravenwood DrChardon, OH 44024-9009 · (440) 285-3568
Phone(440) 285-3568
Sole ProprietorYes
Enumeration DateOctober 13, 2026
NPPES CertifiedOctober 13, 2026
✔ NPI 1699670166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · S.2605427-TRNE
Definition
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.
12557 RAVENWOOD DR, Chardon, OH 44024
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAILYN JOAN RATLIFF LPN
Licensed Practical Nurse
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
BILLIE SATAVA
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-2170
AUDREE ALICK LSW
Social Worker
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
CRISTINA GABRIELA COGNATI
Social Worker
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
WENDY MERLENE FRANCIS LPC
Counselor
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
TRISHA LYNN SIMONYI
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
VANESSA PLAUTZ
Peer Specialist
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568
JOSHUA MARK RUBIN
Case Manager/Care Coordinator
12557 RAVENWOOD DR
CHARDON, OH 44024
Geauga County (440) 285-3568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blain Wallace's NPI number?

The NPI number for Blain Wallace is 1699670166. It was assigned to this individual provider in the NPPES registry on October 13, 2026.

Where is Blain Wallace located?

Blain Wallace practices at 12557 Ravenwood Dr, Chardon, OH 44024. The listed phone number is (440) 285-3568.

What is Blain Wallace's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Blain Wallace was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.