Individual provider Active NPI

Pam Yeager, LISW-S

  • Clinical Social Worker
  • Cuyahoga Falls, OH
National Provider Identifier
1235680901
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002131-S Issued in OH
Practice address
1865 Bailey Rd
Cuyahoga Falls, OH 44221-5211
Phone
(330) 928-2042
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.142484-M-IV OH
Clinical Social Worker 1041C0700X I.2002131-S OH Primary

Addresses

Primary practice location

1865 Bailey Rd
Cuyahoga Falls, OH 44221-5211

Mailing address

18 N Forge St
Akron, OH 44304-1317
Phone (330) 762-0591

Other identifiers 1

IdentifierTypeStateIssuer
I.2002131-SUPRMedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address pamela.yeager@chci.eclinicaldirectplus.com Community Health Care Inc.
Direct Messaging Address pamela.yeager@chci.eclinicaldirectplus.com Community Health Care Inc.
Direct Messaging Address yeagp@cgfs.org

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
I20200828000933 OH Practitioner - Clinical Social Worker 7719304286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HWS Best Health LLCGroup PAC ID 1951712066, 14 clinicians

Practice addresses (Care Compare)

1303 W Maple St
North Canton, OH 44720-2858
Phone (330) 442-2664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2002131-SOHMDClinical Social Worker
PN.142484-M-IVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
HWS Best Health LLC Clinical CurrentSince Jan 6, 2025 Accepting new patients
Child Guidance & Family Solutions CurrentSince Apr 28, 2024 Accepting new patients
HWS Best Health LLC CurrentSince Jan 6, 2025 Accepting new patients
Child Guidance & Family Solutions PastSince Jan 21, 2024 Accepting new patients
Portage Path Behavioral Health PastSince Jul 1, 2021 Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Locations

87 N Canton Rd
Akron, OH 44305
Phone (330) 733-7993

18 N Forge St
Akron, OH 44304
Phone (330) 762-0591

1865 Bailey Rd
Cuyahoga Falls, OH 44221
Phone (330) 928-2042

1303 W Maple St
North Canton, OH 44720
Phone (330) 442-2664

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1235680901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041317",
            "telephone_number": "330-762-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 BAILEY RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442215211",
            "telephone_number": "330-928-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "PAM",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.142484-M-IV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002131-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I.2002131-SUPR",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.yeager@chci.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Community Health Care Inc.",
            "address_1": "2971 Graham Rd",
            "city": "Stow",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442243619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamela.yeager@chci.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Community Health Care Inc.",
            "address_1": "855 W Maple St Ste 110",
            "city": "Hartville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446327601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yeagp@cgfs.org",
            "affiliation": "N",
            "address_1": "18 N Forge St",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443041317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.