Individual provider Active NPI

Yannick Lejacq, LISW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1326868381
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405956 Issued in OH
Practice address
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone
(216) 237-6158
NPI assigned
Oct 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2405956 OH Primary

Addresses

Primary practice location

3569 Ridge Rd
Cleveland, OH 44102-5443

Mailing address

17846 Northwood Ave Apt 11
Lakewood, OH 44107-2237
Phone (917) 797-6230

Other practice location 1

17846 Northwood Ave Apt 11
Lakewood, OH 44107-2237
Phone (917) 797-6230

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
I20260225001904 OH Practitioner - Clinical Social Worker 4789104456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

6412 Franklin Blvd
Cleveland, OH 44102-3153
Phone (216) 281-0872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2405956OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Care Incorporated Current Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Dec 16, 2024 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Dec 16, 2024 Accepting new patients
Neighborhood Health Care Incorporated Current Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients

Locations

3569 Ridge Rd
Cleveland, OH 44102

4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129

6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733

2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800

3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860

11709 Lorain Ave
Cleveland, OH 44111
Phone (216) 367-1004

13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046

14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950

11906 Madison Ave
Lakewood, OH 44107

Organizations & group practices 8

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": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1326868381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17846 NORTHWOOD AVE APT 11",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072237",
            "telephone_number": "917-797-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-237-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17846 Northwood Ave Apt 11",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441072237",
            "country_code": "US",
            "telephone_number": "917-797-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEJACQ",
        "first_name": "YANNICK",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.