Individual provider Active NPI

Caitlin M Yanakeff, BSW, LMSW

  • Social Worker
  • Jackson, MI
National Provider Identifier
1316294374
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801096085 Issued in MI
Practice address
915 Airport Rd
Jackson, MI 49202-1872
Phone
(517) 206-3016
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801096085 MI
Social Worker 104100000X 6801096085 MI Primary

Addresses

Primary practice location

915 Airport Rd
Jackson, MI 49202-1872

Mailing address

14205 Tralee Dr
Cement City, MI 49233-9661

Other practice location 1

14205 Tralee Dr
Cement City, MI 49233-9661
Phone (517) 206-3016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801096085MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC Clinical CurrentSince Jun 17, 2017 Accepting new patients
Caitlin Yanakeff LMSW LLC Social Worker CurrentSince Jun 2, 2022 Accepting new patients

Locations

915 Airport Rd
Jackson, MI 49202
Phone (517) 206-3016

2149 Jolly Rd
Ste 500
Okemos, MI 48864
Phone 5173474645102

Interoperability endpoints

  • Direct secure messaging: cyanakeff454860@direct.hfhs.org

Organizations & group practices 2

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1316294374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 TRALEE DR",
            "city": "CEMENT CITY",
            "state": "MI",
            "postal_code": "492339661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 AIRPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021872",
            "telephone_number": "517-206-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14205 Tralee Dr",
            "address_purpose": "LOCATION",
            "city": "Cement City",
            "state": "MI",
            "postal_code": "492339661",
            "country_code": "US",
            "telephone_number": "517-206-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANAKEFF",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "BSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096085",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.